Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,370.32 / $12,882.50	Facility		$1,288.25	$5,370.32	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,148.15 / $3,235.94	Professional		$812.83	$1,148.15	$3,235.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $8,128.31 / $22,908.68	Facility		$4,073.80	$8,128.31	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,071.52 / $2,454.71	Professional		$851.14	$1,071.52	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $13,489.63	Facility		$1,318.26	$1,318.26	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,318.26 / $1,318.26 / $1,318.26	Professional		$1,318.26	$1,318.26	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,584.89 / $50,118.72	Facility		$34.67	$1,584.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,621.81 / $4,265.80	Professional		$851.14	$1,621.81	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $3,162.28	Facility		$954.99	$1,621.81	$3,162.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,148.15 / $1,862.09	Professional		$870.96	$1,148.15	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,202.26 / $1,949.84	Professional		$794.33	$1,202.26	$1,949.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $50,118.72 / $75,857.76	Facility		$954.99	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,230.27 / $1,995.26	Professional		$398.11	$1,230.27	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $4,897.79 / $11,481.54	Facility		$2,398.83	$4,897.79	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,258.93 / $2,454.71	Professional		$891.25	$1,258.93	$2,454.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,047.13 / $3,019.95	Facility		$758.58	$1,047.13	$3,019.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,148.15 / $2,754.23	Professional		$758.58	$1,148.15	$2,754.23