Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,168.17 / $5,164.00 / $11,161.00	Facility		$1,168.17	$5,164.00	$11,161.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $743.90 / $1,112.26 / $2,022.75	Professional		$743.90	$1,112.26	$2,022.75
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 $701.86 / $912.88 / $2,219.53	Professional		$701.86	$912.88	$2,219.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,294.66 / $2,644.00 / $12,319.50	Facility		$1,294.66	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,294.66 / $1,294.66 / $1,294.66	Professional		$1,294.66	$1,294.66	$1,294.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,042.67 / $1,042.67 / $7,289.38	Facility		$1,042.67	$1,042.67	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $709.42 / $1,534.58 / $3,301.30	Professional		$709.42	$1,534.58	$3,301.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $993.61 / $2,430.41	Facility		$319.00	$993.61	$2,430.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,080.18 / $1,254.70 / $1,877.72	Professional		$1,080.18	$1,254.70	$1,877.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $753.63 / $1,002.84 / $1,702.31	Professional		$753.63	$1,002.84	$1,702.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,112.15 / $19,112.15 / $19,112.15	Facility		$19,112.15	$19,112.15	$19,112.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,042.67 / $7,289.38	Facility		$555.00	$1,042.67	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $737.14 / $1,546.14 / $3,301.30	Professional		$737.14	$1,546.14	$3,301.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.37 / $1,154.74 / $2,613.61	Professional		$765.37	$1,154.74	$2,613.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,002.84 / $1,002.84 / $2,944.28	Facility		$1,002.84	$1,002.84	$2,944.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $769.31 / $1,152.58 / $2,181.09	Professional		$769.31	$1,152.58	$2,181.09