Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $896.06 / $10,563.50 / $20,375.30	Facility		$896.06	$10,563.50	$20,375.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.76 / $13,078.60 / $34,711.40	Professional		$931.76	$13,078.60	$34,711.40
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 $9,838.99 / $13,556.57 / $30,796.01	Professional		$9,838.99	$13,556.57	$30,796.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,044.67 / $2,390.00 / $10,957.50	Facility		$1,044.67	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,044.67 / $1,044.67 / $19,283.75	Professional		$1,044.67	$1,044.67	$19,283.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,114.53 / $1,114.53 / $1,114.53	Professional		$1,114.53	$1,114.53	$1,114.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,121.00 / $1,885.39	Facility		$319.00	$1,121.00	$1,885.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11,232.28 / $14,587.71 / $21,996.62	Professional		$11,232.28	$14,587.71	$21,996.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,645.84 / $12,658.55 / $17,771.84	Professional		$3,645.84	$12,658.55	$17,771.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21,162.61 / $21,162.61 / $21,162.61	Professional		$21,162.61	$21,162.61	$21,162.61
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 $14,104.43 / $21,139.33 / $37,052.67	Professional		$14,104.43	$21,139.33	$37,052.67
United Facility/Professional Professional Modifier Low / Median / High Price $12,031.64 / $17,220.00 / $39,319.94	Professional		$12,031.64	$17,220.00	$39,319.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $904.57 / $904.57 / $2,012.37	Facility		$904.57	$904.57	$2,012.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,807.36 / $13,041.42 / $21,178.02	Professional		$1,807.36	$13,041.42	$21,178.02