Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $5,845.00 / $15,077.56	Facility		$1,837.00	$5,845.00	$15,077.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,396.62 / $1,921.99 / $4,198.57	Professional		$1,396.62	$1,921.99	$4,198.57
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 $1,232.60 / $1,611.26 / $3,868.18	Professional		$1,232.60	$1,611.26	$3,868.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,283.19 / $4,275.50 / $16,534.50	Facility		$2,283.19	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,283.19 / $2,283.19 / $2,283.19	Professional		$2,283.19	$2,283.19	$2,283.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.18 / $1,786.18 / $13,296.25	Facility		$1,786.18	$1,786.18	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,204.22 / $2,660.66 / $5,917.94	Professional		$1,204.22	$2,660.66	$5,917.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,852.80 / $7,533.00	Facility		$332.00	$1,852.80	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,858.99 / $2,145.81 / $3,216.05	Professional		$1,858.99	$2,145.81	$3,216.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,292.69 / $1,479.87 / $2,919.96	Professional		$1,292.69	$1,479.87	$2,919.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,850.52 / $7,206.21 / $9,533.00	Facility		$3,850.52	$7,206.21	$9,533.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,786.18 / $13,296.25	Facility		$555.00	$1,786.18	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,309.84 / $2,660.66 / $5,917.94	Professional		$1,309.84	$2,660.66	$5,917.94
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 $1,376.44 / $2,002.76 / $5,094.58	Professional		$1,376.44	$2,002.76	$5,094.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,720.16 / $1,720.16 / $5,380.68	Facility		$1,720.16	$1,720.16	$5,380.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,319.16 / $1,977.01 / $3,741.19	Professional		$1,319.16	$1,977.01	$3,741.19