Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,630.78 / $11,481.54	Facility		$1,412.54	$3,630.78	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,348.96 / $3,630.78	Professional		$1,071.52	$1,348.96	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,202.26 / $2,951.21	Professional		$954.99	$1,202.26	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $37,153.52	Facility		$1,621.81	$1,621.81	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Professional		$1,621.81	$1,621.81	$1,621.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $50,118.72	Facility		$34.67	$1,949.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,949.84 / $5,128.61	Professional		$1,000.00	$1,949.84	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,905.46 / $3,981.07	Facility		$1,202.26	$1,905.46	$3,981.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,445.44 / $2,089.30	Professional		$1,071.52	$1,445.44	$2,089.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,698.24 / $2,884.03	Professional		$891.25	$1,698.24	$2,884.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $3,715.35 / $19,054.61	Facility		$3,715.35	$3,715.35	$19,054.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,548.82 / $2,511.89	Professional		$398.11	$1,548.82	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $11,481.54	Facility		$2,344.23	$5,011.87	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,288.25 / $3,467.37	Professional		$870.96	$1,288.25	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,479.11 / $3,981.07	Facility		$933.25	$1,479.11	$3,981.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,513.56 / $3,630.78	Professional		$933.25	$1,513.56	$3,630.78