Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,819.00 / $5,700.00 / $11,880.00	Facility		$1,819.00	$5,700.00	$11,880.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,157.00 / $1,406.33	Professional		$776.25	$1,157.00	$1,406.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,749.00 / $9,877.00 / $16,490.00	Facility		$4,749.00	$9,877.00	$16,490.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,104.72 / $1,460.43 / $2,503.42	Professional		$1,104.72	$1,460.43	$2,503.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,716.00 / $1,790.50 / $6,213.00	Facility		$1,716.00	$1,790.50	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,790.50 / $1,790.50 / $1,790.50	Professional		$1,790.50	$1,790.50	$1,790.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,495.62 / $1,495.62 / $1,495.62	Facility		$1,495.62	$1,495.62	$1,495.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,109.94 / $1,790.90 / $5,785.76	Professional		$1,109.94	$1,790.90	$5,785.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,023.70 / $4,617.20	Facility		$319.00	$2,023.70	$4,617.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,921.98 / $2,585.63 / $3,960.53	Professional		$1,921.98	$2,585.63	$3,960.53
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,487.71 / $1,487.71 / $1,487.71	Facility		$1,487.71	$1,487.71	$1,487.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,264.55 / $2,039.95 / $3,280.45	Professional		$1,264.55	$2,039.95	$3,280.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,468.65 / $14,468.65 / $14,468.65	Facility		$14,468.65	$14,468.65	$14,468.65
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,061.52 / $2,061.52 / $2,061.52	Professional		$2,061.52	$2,061.52	$2,061.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $37,776.00	Facility		$555.00	$597.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,109.94 / $1,790.90 / $5,991.24	Professional		$1,109.94	$1,790.90	$5,991.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,018.02 / $1,878.87 / $4,555.60	Professional		$1,018.02	$1,878.87	$4,555.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,806.08 / $1,806.08 / $2,788.56	Facility		$1,806.08	$1,806.08	$2,788.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,487.71 / $2,073.27 / $3,930.98	Professional		$1,487.71	$2,073.27	$3,930.98