Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,626.95 / $4,910.00 / $11,396.00	Facility		$1,626.95	$4,910.00	$11,396.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.97 / $1,845.89 / $3,338.36	Professional		$1,557.97	$1,845.89	$3,338.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,147.43 / $1,499.91 / $3,331.85	Professional		$1,147.43	$1,499.91	$3,331.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,932.41 / $1,932.41 / $37,499.62	Facility		$1,932.41	$1,932.41	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,932.41 / $1,932.41 / $1,932.41	Professional		$1,932.41	$1,932.41	$1,932.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,579.98 / $1,579.98 / $7,227.90	Facility		$1,579.98	$1,579.98	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,404.53 / $2,421.80 / $5,111.00	Professional		$1,404.53	$2,421.80	$5,111.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,180.00 / $8,850.79	Facility		$332.00	$2,180.00	$8,850.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,466.86 / $1,955.81 / $2,819.62	Professional		$1,466.86	$1,955.81	$2,819.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,015.89 / $1,313.18 / $2,222.56	Professional		$1,015.89	$1,313.18	$2,222.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,120.67 / $2,120.67 / $2,120.67	Professional		$2,120.67	$2,120.67	$2,120.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,579.98 / $74,999.25	Facility		$555.00	$1,579.98	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,404.53 / $2,343.92 / $5,111.00	Professional		$1,404.53	$2,343.92	$5,111.00
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 $1,253.08 / $1,784.56 / $4,083.08	Professional		$1,253.08	$1,784.56	$4,083.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,716.53 / $1,716.53 / $5,538.29	Facility		$1,716.53	$1,716.53	$5,538.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,015.89 / $1,958.97 / $3,429.70	Professional		$1,015.89	$1,958.97	$3,429.70