Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,217.77 / $4,409.00 / $9,661.00	Facility		$1,217.77	$4,409.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $925.91 / $1,217.77 / $2,633.82	Professional		$925.91	$1,217.77	$2,633.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $771.22 / $1,008.14 / $2,287.41	Professional		$771.22	$1,008.14	$2,287.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,330.64 / $1,990.00 / $8,917.50	Facility		$1,330.64	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,330.64 / $1,330.64 / $1,330.64	Professional		$1,330.64	$1,330.64	$1,330.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.01 / $1,071.01 / $5,246.94	Facility		$1,071.01	$1,071.01	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.95 / $1,632.51 / $3,678.76	Professional		$814.95	$1,632.51	$3,678.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,500.00 / $2,409.21	Facility		$319.00	$1,500.00	$2,409.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,070.76 / $1,278.49 / $1,913.33	Professional		$1,070.76	$1,278.49	$1,913.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $766.31 / $1,135.30 / $1,717.44	Professional		$766.31	$1,135.30	$1,717.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,412.02 / $4,412.02 / $4,412.02	Facility		$4,412.02	$4,412.02	$4,412.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,071.01 / $5,246.94	Facility		$555.00	$1,071.01	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $969.34 / $1,595.43 / $3,404.47	Professional		$969.34	$1,595.43	$3,404.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,098.00	Facility		$2,264.00	$5,735.00	$11,098.00
United Facility/Professional Professional Modifier Low / Median / High Price $765.49 / $1,153.15 / $2,636.81	Professional		$765.49	$1,153.15	$2,636.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,253.15 / $1,253.15 / $3,184.47	Facility		$1,253.15	$1,253.15	$3,184.47
Univera Facility/Professional Professional Modifier Low / Median / High Price $791.49 / $1,253.15 / $1,987.93	Professional		$791.49	$1,253.15	$1,987.93