Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,678.45 / $3,996.00 / $10,296.00	Facility		$1,678.45	$3,996.00	$10,296.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,233.99 / $1,700.62 / $3,558.31	Professional		$1,233.99	$1,700.62	$3,558.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.41 / $1,488.12 / $3,381.15	Professional		$1,138.41	$1,488.12	$3,381.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,966.01 / $1,966.01 / $37,499.62	Facility		$1,966.01	$1,966.01	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,966.01 / $1,966.01 / $1,966.01	Professional		$1,966.01	$1,966.01	$1,966.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,582.97 / $1,582.97 / $7,227.90	Facility		$1,582.97	$1,582.97	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,203.95 / $2,414.94 / $5,424.36	Professional		$1,203.95	$2,414.94	$5,424.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,322.00 / $3,715.20	Facility		$319.00	$2,322.00	$3,715.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,577.06 / $1,885.74 / $2,822.11	Professional		$1,577.06	$1,885.74	$2,822.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,076.03 / $1,690.67 / $2,513.40	Professional		$1,076.03	$1,690.67	$2,513.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,416.47 / $21,416.47 / $21,416.47	Facility		$21,416.47	$21,416.47	$21,416.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,582.97 / $7,227.90	Facility		$555.00	$1,582.97	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,433.31 / $2,387.89 / $5,029.78	Professional		$1,433.31	$2,387.89	$5,029.78
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,136.21 / $1,702.81 / $3,895.63	Professional		$1,136.21	$1,702.81	$3,895.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,795.29 / $1,795.29 / $4,835.91	Facility		$1,795.29	$1,795.29	$4,835.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,076.03 / $1,795.29 / $2,932.35	Professional		$1,076.03	$1,795.29	$2,932.35