Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $5,248.07 / $12,302.69	Facility		$1,348.96	$5,248.07	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,230.27 / $3,311.31	Professional		$1,000.00	$1,230.27	$3,311.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,047.13 / $2,089.30	Professional		$891.25	$1,047.13	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $2,630.27 / $12,302.69	Facility		$1,548.82	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Professional		$1,548.82	$1,548.82	$1,548.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $7,943.28	Facility		$1,819.70	$1,819.70	$7,943.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,548.82 / $3,890.45	Professional		$831.76	$1,548.82	$3,890.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,288.25 / $3,801.89	Facility		$1,071.52	$1,288.25	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,412.54 / $2,238.72	Professional		$1,122.02	$1,412.54	$2,238.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $2,238.72	Professional		$891.25	$1,380.38	$2,238.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $2,818.38	Professional		$398.11	$1,445.44	$2,818.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $5,495.41 / $13,803.84	Facility		$2,238.72	$5,495.41	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $2,754.23	Professional		$831.76	$1,174.90	$2,754.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $4,365.16	Facility		$870.96	$1,288.25	$4,365.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $2,884.03	Professional		$870.96	$1,288.25	$2,884.03