Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,845.00 / $14,113.00	Facility		$1,819.00	$5,845.00	$14,113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,418.66 / $2,114.98 / $4,584.92	Professional		$1,418.66	$2,114.98	$4,584.92
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 $1,134.83 / $1,462.41 / $3,874.27	Professional		$1,134.83	$1,462.41	$3,874.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,507.41 / $3,478.50 / $13,477.50	Facility		$2,507.41	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,507.41 / $2,507.41 / $2,507.41	Professional		$2,507.41	$2,507.41	$2,507.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,961.78 / $1,961.78 / $10,297.11	Facility		$1,961.78	$1,961.78	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.92 / $2,657.29 / $6,407.33	Professional		$1,194.92	$2,657.29	$6,407.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,860.81 / $4,582.60	Facility		$319.00	$1,860.81	$4,582.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,036.71 / $2,349.41 / $3,523.51	Professional		$2,036.71	$2,349.41	$3,523.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,348.39 / $1,888.24 / $3,205.27	Professional		$1,348.39	$1,888.24	$3,205.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,274.72 / $7,274.72 / $7,274.72	Facility		$7,274.72	$7,274.72	$7,274.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,961.78 / $10,297.11	Facility		$555.00	$1,961.78	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,400.60 / $2,661.57 / $6,407.33	Professional		$1,400.60	$2,661.57	$6,407.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,736.00 / $5,547.00 / $11,729.00	Facility		$2,736.00	$5,547.00	$11,729.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,454.06 / $2,138.33 / $5,340.69	Professional		$1,454.06	$2,138.33	$5,340.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,888.24 / $1,888.24 / $5,408.67	Facility		$1,888.24	$1,888.24	$5,408.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,348.39 / $2,170.19 / $4,106.76	Professional		$1,348.39	$2,170.19	$4,106.76