Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,236.92 / $5,960.00 / $12,592.00	Facility		$1,236.92	$5,960.00	$12,592.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $863.37 / $1,047.20 / $2,609.25	Professional		$863.37	$1,047.20	$2,609.25
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 $820.46 / $1,072.50 / $2,494.77	Professional		$820.46	$1,072.50	$2,494.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,418.98 / $3,478.50 / $13,477.50	Facility		$1,418.98	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,418.98 / $1,418.98 / $1,418.98	Professional		$1,418.98	$1,418.98	$1,418.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,137.90 / $1,137.90 / $1,137.90	Facility		$1,137.90	$1,137.90	$1,137.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.93 / $1,361.99 / $3,390.34	Professional		$763.93	$1,361.99	$3,390.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $975.00 / $2,666.90	Facility		$332.00	$975.00	$2,666.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,188.63 / $1,404.74 / $2,927.67	Professional		$1,188.63	$1,404.74	$2,927.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $760.76 / $944.14 / $1,866.26	Professional		$760.76	$944.14	$1,866.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,837.32 / $3,837.32 / $7,205.32	Facility		$3,837.32	$3,837.32	$7,205.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,137.90 / $74,999.25	Facility		$555.00	$1,137.90	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $948.23 / $1,369.00 / $3,445.95	Professional		$948.23	$1,369.00	$3,445.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,963.00 / $13,746.00	Facility		$2,264.00	$5,963.00	$13,746.00
United Facility/Professional Professional Modifier Low / Median / High Price $817.19 / $1,160.10 / $2,568.21	Professional		$817.19	$1,160.10	$2,568.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,202.48 / $1,202.48 / $3,551.76	Facility		$1,202.48	$1,202.48	$3,551.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $760.76 / $1,202.48 / $2,766.47	Professional		$760.76	$1,202.48	$2,766.47