Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $5,370.32 / $12,302.69	Facility		$1,412.54	$5,370.32	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $3,090.30	Professional		$1,096.48	$1,412.54	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,230.27 / $2,951.21	Professional		$977.24	$1,230.27	$2,951.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,467.37 / $13,489.63	Facility		$1,584.89	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $1,584.89 / $1,584.89	Professional		$1,584.89	$1,584.89	$1,584.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,905.46 / $50,118.72	Facility		$34.67	$1,905.46	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,584.89 / $4,073.80	Professional		$933.25	$1,584.89	$4,073.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,348.96 / $3,630.78	Facility		$1,023.29	$1,348.96	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,318.26 / $2,041.74	Professional		$1,071.52	$1,318.26	$2,041.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,348.96 / $2,398.83	Professional		$776.25	$1,348.96	$2,398.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $5,370.32 / $7,762.47	Facility		$5,370.32	$5,370.32	$7,762.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $1,348.96 / $1,412.54	Professional		$1,174.90	$1,348.96	$1,412.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $50,118.72 / $75,857.76	Facility		$1,202.26	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $2,290.87	Professional		$398.11	$1,412.54	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $13,489.63	Facility		$2,398.83	$5,754.40	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,202.26 / $2,570.40	Professional		$933.25	$1,202.26	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,548.82 / $3,715.35	Facility		$933.25	$1,548.82	$3,715.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,348.96 / $3,388.44	Professional		$891.25	$1,348.96	$3,388.44