Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.00 / $5,324.00 / $11,996.00	Facility		$1,548.00	$5,324.00	$11,996.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,085.15 / $1,525.80 / $2,580.80	Professional		$1,085.15	$1,525.80	$2,580.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $979.58 / $1,280.50 / $3,093.16	Professional		$979.58	$1,280.50	$3,093.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,771.03 / $1,771.03 / $12,319.50	Facility		$1,771.03	$1,771.03	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,771.03 / $1,771.03 / $1,771.03	Professional		$1,771.03	$1,771.03	$1,771.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,424.29 / $1,424.29 / $7,227.90	Facility		$1,424.29	$1,424.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,195.93 / $2,112.21 / $4,502.39	Professional		$1,195.93	$2,112.21	$4,502.39
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,116.78 / $3,516.80	Facility		$319.00	$2,116.78	$3,516.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,437.91 / $1,677.23 / $2,510.06	Professional		$1,437.91	$1,677.23	$2,510.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,013.44 / $1,422.42 / $2,277.26	Professional		$1,013.44	$1,422.42	$2,277.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,041.72 / $12,554.83 / $13,507.55	Facility		$8,041.72	$12,554.83	$13,507.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,424.29 / $7,227.90	Facility		$555.00	$1,424.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,288.27 / $2,112.21 / $4,502.39	Professional		$1,288.27	$2,112.21	$4,502.39
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,242.83 / $1,730.57 / $3,307.58	Professional		$1,242.83	$1,730.57	$3,307.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,422.42 / $1,422.42 / $4,257.33	Facility		$1,422.42	$1,422.42	$4,257.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,113.10 / $1,503.73 / $2,629.02	Professional		$1,113.10	$1,503.73	$2,629.02