Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $6,025.60 / $12,882.50	Facility		$1,778.28	$6,025.60	$12,882.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,698.24 / $4,466.84	Professional		$1,258.93	$1,698.24	$4,466.84
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 $1,122.02 / $1,412.54 / $3,630.78	Professional		$1,122.02	$1,412.54	$3,630.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,467.37 / $13,489.63	Facility		$1,862.09	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Professional		$1,862.09	$1,862.09	$1,862.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $2,187.76 / $50,118.72	Facility		$34.67	$2,187.76	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	AS	$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,862.09 / $4,786.30	Professional		$1,071.52	$1,862.09	$4,786.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $1,778.28 / $4,168.69	Facility		$1,288.25	$1,778.28	$4,168.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,258.93 / $1,548.82 / $2,398.83	Professional		$1,258.93	$1,548.82	$2,398.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,621.81 / $2,818.38	Professional		$912.01	$1,621.81	$2,818.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $15,135.61 / $17,782.79	Facility		$3,630.78	$15,135.61	$17,782.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,621.81 / $1,778.28	Professional		$1,380.38	$1,621.81	$1,778.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $50,118.72 / $75,857.76	Facility		$1,584.89	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,862.09 / $3,467.37	Professional		$1,513.56	$1,862.09	$3,467.37
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $13,803.84	Facility		$2,398.83	$5,754.40	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,445.44 / $3,090.30	Professional		$1,096.48	$1,445.44	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,778.28 / $4,570.88	Facility		$1,071.52	$1,778.28	$4,570.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,621.81 / $4,073.80	Professional		$1,047.13	$1,621.81	$4,073.80