Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $7,413.10 / $18,197.01	Facility		$1,548.82	$7,413.10	$18,197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,479.11 / $5,011.87	Professional		$977.24	$1,479.11	$5,011.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $26,302.68	Facility		$5,011.87	$11,220.18	$26,302.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,258.93 / $3,019.95	Professional		$1,000.00	$1,258.93	$3,019.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,265.80 / $16,595.87	Facility		$1,584.89	$4,265.80	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $3,311.31 / $50,118.72	Facility		$1,905.46	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,949.84 / $5,011.87	Professional		$977.24	$1,949.84	$5,011.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,344.23 / $4,073.80	Facility		$1,148.15	$2,344.23	$4,073.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,380.38 / $2,041.74	Professional		$1,047.13	$1,380.38	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,445.44 / $2,344.23	Professional		$977.24	$1,445.44	$2,344.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $13,803.84 / $22,387.21	Facility		$7,079.46	$13,803.84	$22,387.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $50,118.72 / $75,857.76	Facility		$1,174.90	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,584.89 / $2,951.21	Professional		$1,348.96	$1,584.89	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $7,762.47 / $18,620.87	Facility		$2,511.89	$7,762.47	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,513.56 / $2,951.21	Professional		$1,071.52	$1,513.56	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,288.25 / $3,890.45	Facility		$912.01	$1,288.25	$3,890.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,348.96 / $3,548.13	Professional		$912.01	$1,348.96	$3,548.13