Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,683.97 / $4,043.00 / $10,296.00	Facility		$1,683.97	$4,043.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.01 / $1,918.75 / $3,485.76	Professional		$1,590.01	$1,918.75	$3,485.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,538.00	Facility		$4,100.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,196.65 / $1,564.25 / $3,531.56	Professional		$1,196.65	$1,564.25	$3,531.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,011.15 / $2,011.15 / $37,499.62	Facility		$2,011.15	$2,011.15	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,011.15 / $2,011.15 / $2,011.15	Professional		$2,011.15	$2,011.15	$2,011.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,638.48 / $1,638.48 / $7,227.90	Facility		$1,638.48	$1,638.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,456.57 / $2,487.94 / $5,296.31	Professional		$1,456.57	$2,487.94	$5,296.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,200.00 / $8,932.00	Facility		$332.00	$2,200.00	$8,932.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,513.94 / $2,018.58 / $2,910.12	Professional		$1,513.94	$2,018.58	$2,910.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,017.20 / $1,363.63 / $2,298.85	Professional		$1,017.20	$1,363.63	$2,298.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,795.95 / $2,795.95 / $2,795.95	Professional		$2,795.95	$2,795.95	$2,795.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,638.48 / $74,999.25	Facility		$555.00	$1,638.48	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,486.00 / $2,426.14 / $5,296.31	Professional		$1,486.00	$2,426.14	$5,296.31
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 $1,413.75 / $1,874.34 / $4,294.27	Professional		$1,413.75	$1,874.34	$4,294.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,786.02 / $1,786.02 / $5,624.76	Facility		$1,786.02	$1,786.02	$5,624.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,017.20 / $1,786.02 / $3,568.55	Professional		$1,017.20	$1,786.02	$3,568.55