Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $836.28 / $8,045.44 / $15,991.90	Facility		$836.28	$8,045.44	$15,991.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $876.54 / $9,961.02 / $26,447.00	Professional		$876.54	$9,961.02	$26,447.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,355.00 / $24,288.00	Facility		$4,989.00	$10,355.00	$24,288.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8,223.11 / $11,096.53 / $24,396.96	Professional		$8,223.11	$11,096.53	$24,396.96
Anthem BCBS Facility/Professional Professional Modifier 80 Low / Median / High Price $1,315.69 / $1,775.44 / $3,874.27	Professional	80	$1,315.69	$1,775.44	$3,874.27
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $1,151.23 / $1,553.51 / $3,389.98	Professional	AS	$1,151.23	$1,553.51	$3,389.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $971.28 / $2,390.00 / $10,957.50	Facility		$971.28	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $971.28 / $971.28 / $15,083.28	Professional		$971.28	$971.28	$15,083.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,055.13 / $1,055.13 / $1,055.13	Professional		$1,055.13	$1,055.13	$1,055.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,070.00 / $1,770.01	Facility		$319.00	$1,070.00	$1,770.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8,559.95 / $11,110.36 / $16,759.43	Professional		$8,559.95	$11,110.36	$16,759.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,645.84 / $9,933.82 / $13,535.49	Professional		$3,645.84	$9,933.82	$13,535.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13,813.63 / $15,469.64 / $20,966.00	Professional		$13,813.63	$15,469.64	$20,966.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11,327.28 / $16,984.49 / $28,773.50	Professional		$11,327.28	$16,984.49	$28,773.50
United Facility/Professional Professional Modifier Low / Median / High Price $9,301.01 / $14,103.83 / $33,163.98	Professional		$9,301.01	$14,103.83	$33,163.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $850.95 / $850.95 / $1,906.73	Facility		$850.95	$850.95	$1,906.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,700.23 / $9,860.93 / $16,013.21	Professional		$1,700.23	$9,860.93	$16,013.21