Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,319.70 / $6,848.00 / $15,681.48	Facility		$1,319.70	$6,848.00	$15,681.48
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $498.28 / $631.72 / $8,210.74	Facility	52	$498.28	$631.72	$8,210.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.79 / $1,244.23 / $5,277.36	Professional		$907.79	$1,244.23	$5,277.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,359.00 / $18,161.00	Facility		$4,100.00	$7,359.00	$18,161.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.59 / $1,191.38 / $2,561.38	Professional		$939.59	$1,191.38	$2,561.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,454.06 / $4,275.50 / $16,534.50	Facility		$1,454.06	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,454.06 / $1,454.06 / $1,454.06	Professional		$1,454.06	$1,454.06	$1,454.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,155.74 / $1,155.74 / $13,296.25	Facility		$1,155.74	$1,155.74	$13,296.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $924.59 / $924.59 / $924.59	Facility	52	$924.59	$924.59	$924.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.80 / $1,698.38 / $4,084.47	Professional		$763.80	$1,698.38	$4,084.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,092.00 / $7,533.00	Facility		$332.00	$1,092.00	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,180.84 / $1,379.40 / $2,064.34	Professional		$1,180.84	$1,379.40	$2,064.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $817.98 / $1,116.51 / $1,895.27	Professional		$817.98	$1,116.51	$1,895.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.00 / $7,005.22 / $11,509.30	Facility		$4,128.00	$7,005.22	$11,509.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,155.74 / $13,296.25	Facility		$555.00	$1,155.74	$13,296.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $924.59 / $924.59 / $924.59	Facility	52	$924.59	$924.59	$924.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $832.09 / $1,698.38 / $3,915.60	Professional		$832.09	$1,698.38	$3,915.60
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 $841.60 / $1,251.26 / $3,345.42	Professional		$841.60	$1,251.26	$3,345.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,116.51 / $1,116.51 / $3,150.27	Facility		$1,116.51	$1,116.51	$3,150.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $817.98 / $1,283.23 / $2,428.32	Professional		$817.98	$1,283.23	$2,428.32