Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,473.55 / $7,028.00 / $18,224.89	Facility		$1,473.55	$7,028.00	$18,224.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $970.34 / $1,378.65 / $3,131.22	Professional		$970.34	$1,378.65	$3,131.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $10,294.00 / $23,873.00	Facility		$4,989.00	$10,294.00	$23,873.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,010.41 / $1,281.18 / $2,803.28	Professional		$1,010.41	$1,281.18	$2,803.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.28 / $4,275.50 / $16,534.50	Facility		$1,584.28	$4,275.50	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.28 / $1,584.28 / $1,584.28	Professional		$1,584.28	$1,584.28	$1,584.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,276.39 / $12,209.00 / $34,562.00	Facility		$1,276.39	$12,209.00	$34,562.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,074.08 / $1,909.38 / $4,023.35	Professional		$1,074.08	$1,909.38	$4,023.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,190.09 / $9,691.21	Facility		$332.00	$2,190.09	$9,691.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.29 / $1,503.13 / $3,182.08	Professional		$1,288.29	$1,503.13	$3,182.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.36 / $1,273.79 / $2,039.30	Professional		$913.36	$1,273.79	$2,039.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,062.92 / $12,502.19 / $22,228.82	Facility		$7,062.92	$12,502.19	$22,228.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $8,147.00 / $34,562.00	Facility		$597.00	$8,147.00	$34,562.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,157.58 / $1,909.38 / $4,023.35	Professional		$1,157.58	$1,909.38	$4,023.35
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $7,391.00 / $16,243.00	Facility		$2,444.00	$7,391.00	$16,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,088.47 / $1,545.10 / $3,225.29	Professional		$1,088.47	$1,545.10	$3,225.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,273.79 / $1,273.79 / $3,876.82	Facility		$1,273.79	$1,273.79	$3,876.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,006.17 / $1,347.63 / $2,354.30	Professional		$1,006.17	$1,347.63	$2,354.30