Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.93 / $5,250.00 / $12,051.00	Facility		$1,256.93	$5,250.00	$12,051.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,009.99 / $1,244.30 / $2,349.44	Professional		$1,009.99	$1,244.30	$2,349.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,634.00 / $7,744.00 / $14,193.00	Facility		$4,634.00	$7,744.00	$14,193.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $835.93 / $1,092.73 / $2,505.92	Professional		$835.93	$1,092.73	$2,505.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,448.09 / $1,448.09 / $13,009.50	Facility		$1,448.09	$1,448.09	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,448.09 / $1,448.09 / $1,448.09	Professional		$1,448.09	$1,448.09	$1,448.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,168.24 / $1,168.24 / $7,227.90	Facility		$1,168.24	$1,168.24	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $841.47 / $1,811.64 / $3,879.10	Professional		$841.47	$1,811.64	$3,879.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,525.00 / $2,764.89	Facility		$319.00	$1,525.00	$2,764.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,210.29 / $1,377.92 / $2,125.89	Professional		$1,210.29	$1,377.92	$2,125.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $826.64 / $966.61 / $1,876.96	Professional		$826.64	$966.61	$1,876.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,351.11 / $11,351.11 / $11,351.11	Facility		$11,351.11	$11,351.11	$11,351.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $7,227.90 / $12,434.00	Facility		$597.00	$7,227.90	$12,434.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $880.74 / $1,805.07 / $3,879.10	Professional		$880.74	$1,805.07	$3,879.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $6,762.00 / $16,243.00	Facility		$2,444.00	$6,762.00	$16,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $992.57 / $1,380.95 / $3,089.11	Professional		$992.57	$1,380.95	$3,089.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,086.46 / $1,086.46 / $3,289.79	Facility		$1,086.46	$1,086.46	$3,289.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $885.15 / $1,167.19 / $2,144.42	Professional		$885.15	$1,167.19	$2,144.42