Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.22 / $3,205.00 / $7,839.00	Facility		$1,235.22	$3,205.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $913.09 / $1,213.55 / $2,147.58	Professional		$913.09	$1,213.55	$2,147.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $833.40 / $1,034.94 / $2,352.07	Professional		$833.40	$1,034.94	$2,352.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,446.54 / $1,716.00 / $6,213.00	Facility		$1,446.54	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,446.54 / $1,446.54 / $1,446.54	Professional		$1,446.54	$1,446.54	$1,446.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.74 / $1,168.74 / $4,612.43	Facility		$1,168.74	$1,168.74	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.13 / $1,527.58 / $3,805.67	Professional		$864.13	$1,527.58	$3,805.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,019.00 / $2,770.97	Facility		$332.00	$1,019.00	$2,770.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,108.39 / $1,422.66 / $2,130.56	Professional		$1,108.39	$1,422.66	$2,130.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $639.45 / $639.45 / $952.41	Facility		$639.45	$639.45	$952.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.57 / $1,216.98 / $1,888.75	Professional		$766.57	$1,216.98	$1,888.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,398.06 / $1,398.06 / $1,398.06	Professional		$1,398.06	$1,398.06	$1,398.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,168.74 / $4,612.43	Facility		$597.00	$1,168.74	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $994.00 / $1,488.65 / $3,521.25	Professional		$994.00	$1,488.65	$3,521.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,693.00 / $3,972.00 / $9,202.00	Facility		$1,693.00	$3,972.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $862.10 / $1,206.00 / $2,986.44	Professional		$862.10	$1,206.00	$2,986.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $952.41 / $1,216.98 / $3,679.14	Facility		$952.41	$1,216.98	$3,679.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $766.57 / $1,364.89 / $2,587.19	Professional		$766.57	$1,364.89	$2,587.19