Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.06 / $5,164.00 / $10,686.00	Facility		$1,928.06	$5,164.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,928.06 / $2,402.60 / $6,428.06	Professional		$1,928.06	$2,402.60	$6,428.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,793.00 / $9,974.00 / $17,122.00	Facility		$4,793.00	$9,974.00	$17,122.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,634.74 / $2,136.92 / $5,217.67	Professional		$1,634.74	$2,136.92	$5,217.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,747.99 / $2,747.99 / $37,499.62	Facility		$2,747.99	$2,747.99	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,747.99 / $2,747.99 / $2,747.99	Professional		$2,747.99	$2,747.99	$2,747.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,272.34 / $2,272.34 / $7,227.90	Facility		$2,272.34	$2,272.34	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,897.99 / $3,371.50 / $10,376.79	Professional		$1,897.99	$3,371.50	$10,376.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,286.82 / $5,696.00	Facility		$319.00	$3,286.82	$5,696.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,393.04 / $3,047.63 / $4,321.64	Professional		$2,393.04	$3,047.63	$4,321.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,460.81 / $2,270.66 / $3,609.86	Professional		$1,460.81	$2,270.66	$3,609.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,778.09 / $2,778.09 / $2,778.09	Facility		$2,778.09	$2,778.09	$2,778.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,272.34 / $7,227.90	Facility		$555.00	$2,272.34	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,963.40 / $3,691.61 / $10,052.85	Professional		$1,963.40	$3,691.61	$10,052.85
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 $1,992.45 / $2,876.98 / $6,716.71	Professional		$1,992.45	$2,876.98	$6,716.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,270.66 / $2,270.66 / $6,398.99	Facility		$2,270.66	$2,270.66	$6,398.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,460.81 / $2,431.46 / $4,166.53	Professional		$1,460.81	$2,431.46	$4,166.53