Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,837.00 / $4,792.00 / $10,686.00	Facility		$1,837.00	$4,792.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,884.41 / $2,399.21 / $6,035.25	Professional		$1,884.41	$2,399.21	$6,035.25
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 $1,560.17 / $2,039.45 / $4,979.14	Professional		$1,560.17	$2,039.45	$4,979.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,619.67 / $2,619.67 / $37,499.62	Facility		$2,619.67	$2,619.67	$37,499.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,619.67 / $2,619.67 / $2,619.67	Professional		$2,619.67	$2,619.67	$2,619.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,166.29 / $2,166.29 / $7,227.90	Facility		$2,166.29	$2,166.29	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.06 / $3,233.33 / $9,636.46	Professional		$1,814.06	$3,233.33	$9,636.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,076.40 / $5,361.03	Facility		$319.00	$2,076.40	$5,361.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,284.04 / $2,527.77 / $4,122.04	Professional		$2,284.04	$2,527.77	$4,122.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,517.21 / $1,841.88 / $3,444.95	Professional		$1,517.21	$1,841.88	$3,444.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,243.61 / $14,243.61 / $14,243.61	Facility		$14,243.61	$14,243.61	$14,243.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $2,166.29 / $7,227.90	Facility		$555.00	$2,166.29	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,911.26 / $3,550.19 / $9,052.00	Professional		$1,911.26	$3,550.19	$9,052.00
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 $1,869.57 / $2,678.33 / $6,393.62	Professional		$1,869.57	$2,678.33	$6,393.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,166.92 / $2,166.92 / $7,706.84	Facility		$2,166.92	$2,166.92	$7,706.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,539.35 / $2,174.53 / $4,444.52	Professional		$1,539.35	$2,174.53	$4,444.52