Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,166.45 / $5,700.00 / $12,466.00	Facility		$1,166.45	$5,700.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $801.06 / $1,105.06 / $1,713.65	Professional		$801.06	$1,105.06	$1,713.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,697.00	Facility		$4,100.00	$7,264.00	$12,697.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.32 / $938.99 / $2,258.65	Professional		$718.32	$938.99	$2,258.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,303.10 / $1,303.10 / $37,499.62	Facility		$1,303.10	$1,303.10	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,303.10 / $1,303.10 / $1,303.10	Professional		$1,303.10	$1,303.10	$1,303.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,049.64 / $1,049.64 / $7,227.90	Facility		$1,049.64	$1,049.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $883.22 / $1,532.89 / $3,312.32	Professional		$883.22	$1,532.89	$3,312.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,230.00 / $2,391.84	Facility		$319.00	$1,230.00	$2,391.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,067.52 / $1,296.91 / $1,853.85	Professional		$1,067.52	$1,296.91	$1,853.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $683.45 / $1,050.95 / $1,682.55	Professional		$683.45	$1,050.95	$1,682.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,399.58 / $2,399.58 / $2,399.58	Facility		$2,399.58	$2,399.58	$2,399.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,049.64 / $7,227.90	Facility		$555.00	$1,049.64	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $942.30 / $1,532.89 / $3,312.32	Professional		$942.30	$1,532.89	$3,312.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,194.00 / $9,300.00	Facility		$1,749.00	$4,194.00	$9,300.00
United Facility/Professional Professional Modifier Low / Median / High Price $897.03 / $1,280.82 / $2,590.34	Professional		$897.03	$1,280.82	$2,590.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,050.95 / $1,050.95 / $2,998.43	Facility		$1,050.95	$1,050.95	$2,998.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $683.45 / $1,110.60 / $1,942.45	Professional		$683.45	$1,110.60	$1,942.45