Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $6,760.83 / $15,848.93	Facility		$1,659.59	$6,760.83	$15,848.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,548.82 / $4,168.69	Professional		$1,148.15	$1,548.82	$4,168.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $7,762.47 / $13,803.84	Facility		$3,890.45	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,288.25 / $3,311.31	Professional		$1,000.00	$1,288.25	$3,311.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $13,489.63	Facility		$1,659.59	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,884.03 / $50,118.72	Facility		$1,949.84	$2,884.03	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.98 / $194.98 / $194.98	Facility	AS	$194.98	$194.98	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,659.59 / $4,265.80	Professional		$977.24	$1,659.59	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $1,737.80 / $3,801.89	Facility		$1,148.15	$1,737.80	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,513.56 / $1,949.84	Professional		$1,122.02	$1,513.56	$1,949.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,511.89	Professional		$812.83	$1,412.54	$2,511.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $10,471.29 / $17,782.79	Facility		$5,370.32	$10,471.29	$17,782.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $1,445.44 / $1,445.44	Professional		$1,230.27	$1,445.44	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $50,118.72 / $75,857.76	Facility		$1,479.11	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,479.11 / $2,630.27	Professional		$398.11	$1,479.11	$2,630.27
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 $977.24 / $1,318.26 / $2,818.38	Professional		$977.24	$1,318.26	$2,818.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,621.81 / $4,677.35	Facility		$954.99	$1,621.81	$4,677.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,479.11 / $4,786.30	Professional		$933.25	$1,479.11	$4,786.30