Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,798.25 / $6,962.00 / $20,015.00	Facility		$1,798.25	$6,962.00	$20,015.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,392.48 / $1,798.25 / $3,563.11	Professional		$1,392.48	$1,798.25	$3,563.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,696.00 / $8,770.73 / $18,195.00	Facility		$4,696.00	$8,770.73	$18,195.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,121.68 / $1,466.26 / $3,143.54	Professional		$1,121.68	$1,466.26	$3,143.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,888.55 / $3,183.00 / $37,499.62	Facility		$1,888.55	$3,183.00	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,888.55 / $1,888.55 / $1,888.55	Professional		$1,888.55	$1,888.55	$1,888.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.23 / $1,473.23 / $7,227.90	Facility		$1,473.23	$1,473.23	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,295.63 / $2,193.62 / $4,649.59	Professional		$1,295.63	$2,193.62	$4,649.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,951.00 / $7,921.06	Facility		$332.00	$1,951.00	$7,921.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,317.83 / $1,757.11 / $2,570.34	Professional		$1,317.83	$1,757.11	$2,570.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $984.19 / $1,309.20 / $2,218.14	Professional		$984.19	$1,309.20	$2,218.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,385.03 / $5,385.03 / $5,385.03	Facility		$5,385.03	$5,385.03	$5,385.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,473.23 / $74,999.25	Facility		$555.00	$1,473.23	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,373.37 / $2,074.32 / $4,591.33	Professional		$1,373.37	$2,074.32	$4,591.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,286.48 / $1,698.59 / $4,020.95	Professional		$1,286.48	$1,698.59	$4,020.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,626.95 / $1,626.95 / $2,513.52	Facility		$1,626.95	$1,626.95	$2,513.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $984.19 / $1,626.95 / $2,668.83	Professional		$984.19	$1,626.95	$2,668.83