Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,167.00 / $10,965.00	Facility		$1,548.00	$5,167.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.32 / $1,624.54 / $2,956.53	Professional		$1,096.32	$1,624.54	$2,956.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $855.02 / $1,101.83 / $2,975.19	Professional		$855.02	$1,101.83	$2,975.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,922.67 / $2,644.00 / $12,319.50	Facility		$1,922.67	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,922.67 / $1,922.67 / $1,922.67	Professional		$1,922.67	$1,922.67	$1,922.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,503.96 / $1,503.96 / $7,289.38	Facility		$1,503.96	$1,503.96	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $975.24 / $2,104.33 / $4,784.95	Professional		$975.24	$2,104.33	$4,784.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,424.31 / $3,502.89	Facility		$319.00	$1,424.31	$3,502.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,556.84 / $1,794.27 / $2,693.33	Professional		$1,556.84	$1,794.27	$2,693.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.14 / $1,246.99 / $2,455.76	Professional		$1,043.14	$1,246.99	$2,455.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,476.53 / $12,476.53 / $12,476.53	Facility		$12,476.53	$12,476.53	$12,476.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,503.96 / $7,289.38	Facility		$555.00	$1,503.96	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,071.30 / $2,104.33 / $4,784.95	Professional		$1,071.30	$2,104.33	$4,784.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $12,509.00	Facility		$2,337.00	$5,963.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,086.44 / $1,634.79 / $3,741.37	Professional		$1,086.44	$1,634.79	$3,741.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,446.70 / $1,446.70 / $3,687.16	Facility		$1,446.70	$1,446.70	$3,687.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,043.14 / $1,662.72 / $2,820.33	Professional		$1,043.14	$1,662.72	$2,820.33