Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.35 / $5,324.00 / $14,352.76	Facility		$1,408.35	$5,324.00	$14,352.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,007.68 / $1,413.61 / $3,211.62	Professional		$1,007.68	$1,413.61	$3,211.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,101.00 / $7,437.00 / $12,956.00	Facility		$4,101.00	$7,437.00	$12,956.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,049.04 / $1,330.16 / $3,381.72	Professional		$1,049.04	$1,330.16	$3,381.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $12,319.50	Facility		$1,643.00	$1,643.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,643.00 / $1,643.00 / $1,643.00	Professional		$1,643.00	$1,643.00	$1,643.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,322.26 / $1,322.26 / $7,227.90	Facility		$1,322.26	$1,322.26	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.99 / $1,969.23 / $4,176.60	Professional		$1,110.99	$1,969.23	$4,176.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,943.50 / $3,208.00	Facility		$319.00	$1,943.50	$3,208.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,336.35 / $1,557.91 / $2,331.48	Professional		$1,336.35	$1,557.91	$2,331.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $941.25 / $1,122.94 / $2,115.05	Professional		$941.25	$1,122.94	$2,115.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,019.13 / $5,019.13 / $5,019.13	Facility		$5,019.13	$5,019.13	$5,019.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,322.26 / $7,227.90	Facility		$555.00	$1,322.26	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,188.54 / $1,969.23 / $4,176.60	Professional		$1,188.54	$1,969.23	$4,176.60
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 $1,144.43 / $1,606.23 / $3,332.77	Professional		$1,144.43	$1,606.23	$3,332.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,321.10 / $1,321.10 / $3,889.78	Facility		$1,321.10	$1,321.10	$3,889.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,026.55 / $1,396.75 / $2,441.76	Professional		$1,026.55	$1,396.75	$2,441.76