Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.75 / $5,960.00 / $12,266.00	Facility		$1,756.75	$5,960.00	$12,266.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,412.82 / $1,673.32 / $3,445.24	Professional		$1,412.82	$1,673.32	$3,445.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,046.00 / $7,264.00 / $12,538.00	Facility		$4,046.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,125.21 / $1,470.87 / $3,390.61	Professional		$1,125.21	$1,470.87	$3,390.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,861.54 / $3,478.50 / $13,477.50	Facility		$1,861.54	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,861.54 / $1,861.54 / $1,861.54	Professional		$1,861.54	$1,861.54	$1,861.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,473.31 / $1,473.31 / $3,648.87	Facility		$1,473.31	$1,473.31	$3,648.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $146.63 / $146.63	Facility	AS	$146.63	$146.63	$146.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,089.33 / $1,775.43 / $4,015.20	Professional		$1,089.33	$1,775.43	$4,015.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,781.00 / $3,319.07	Facility		$332.00	$1,781.00	$3,319.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,442.33 / $1,770.17 / $2,751.54	Professional		$1,442.33	$1,770.17	$2,751.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $874.04 / $1,594.44 / $2,786.83	Professional		$874.04	$1,594.44	$2,786.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,535.08 / $11,420.33 / $17,744.36	Facility		$3,535.08	$11,420.33	$17,744.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,375.06 / $1,620.48 / $1,790.90	Professional		$1,375.06	$1,620.48	$1,790.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,473.31 / $74,999.25	Facility		$555.00	$1,473.31	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $146.63 / $146.63 / $146.63	Facility	AS	$146.63	$146.63	$146.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,270.25 / $1,809.15 / $4,030.49	Professional		$1,270.25	$1,809.15	$4,030.49
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,731.00 / $12,509.00	Facility		$2,264.00	$5,731.00	$12,509.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,139.41 / $1,512.05 / $3,374.24	Professional		$1,139.41	$1,512.05	$3,374.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,796.01 / $1,796.01 / $4,927.41	Facility		$1,796.01	$1,796.01	$4,927.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $874.04 / $1,796.01 / $3,339.47	Professional		$874.04	$1,796.01	$3,339.47