Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,267.83 / $4,770.00 / $10,170.00	Facility		$1,267.83	$4,770.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $988.47 / $1,251.35 / $2,709.68	Professional		$988.47	$1,251.35	$2,709.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $789.79 / $1,032.41 / $2,356.51	Professional		$789.79	$1,032.41	$2,356.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,366.07 / $1,990.00 / $8,917.50	Facility		$1,366.07	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,366.07 / $1,366.07 / $1,366.07	Professional		$1,366.07	$1,366.07	$1,366.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.32 / $1,100.32 / $5,246.94	Facility		$1,100.32	$1,100.32	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $837.70 / $1,666.75 / $3,775.53	Professional		$837.70	$1,666.75	$3,775.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,315.00 / $2,474.89	Facility		$319.00	$1,315.00	$2,474.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,099.95 / $1,313.32 / $1,965.46	Professional		$1,099.95	$1,313.32	$1,965.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $787.12 / $1,166.23 / $1,764.07	Professional		$787.12	$1,166.23	$1,764.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,022.99 / $7,205.32 / $8,405.23	Facility		$5,022.99	$7,205.32	$8,405.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,100.32 / $5,246.94	Facility		$555.00	$1,100.32	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $994.14 / $1,638.93 / $3,805.13	Professional		$994.14	$1,638.93	$3,805.13
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,509.00	Facility		$2,337.00	$6,450.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $807.26 / $1,213.74 / $2,701.23	Professional		$807.26	$1,213.74	$2,701.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,287.17 / $1,287.17 / $3,289.07	Facility		$1,287.17	$1,287.17	$3,289.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $819.84 / $1,287.17 / $2,041.90	Professional		$819.84	$1,287.17	$2,041.90