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 / $12,568.00	Facility		$1,819.00	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,456.23 / $1,934.30 / $3,370.37	Professional		$1,456.23	$1,934.30	$3,370.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,100.00 / $7,264.00 / $12,274.00	Facility		$4,100.00	$7,264.00	$12,274.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,247.01 / $1,630.09 / $3,937.10	Professional		$1,247.01	$1,630.09	$3,937.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,259.07 / $3,478.50 / $13,477.50	Facility		$2,259.07	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,259.07 / $2,259.07 / $2,259.07	Professional		$2,259.07	$2,259.07	$2,259.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,777.98 / $1,777.98 / $10,297.11	Facility		$1,777.98	$1,777.98	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,217.27 / $2,713.75 / $5,721.82	Professional		$1,217.27	$2,713.75	$5,721.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $2,546.00 / $4,189.32	Facility		$332.00	$2,546.00	$4,189.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,828.07 / $2,138.32 / $3,200.10	Professional		$1,828.07	$2,138.32	$3,200.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,199.93 / $1,688.56 / $2,902.09	Professional		$1,199.93	$1,688.56	$2,902.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,509.30 / $11,509.30 / $11,509.30	Facility		$11,509.30	$11,509.30	$11,509.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,777.98 / $10,297.11	Facility		$555.00	$1,777.98	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,359.28 / $2,713.75 / $5,721.82	Professional		$1,359.28	$2,713.75	$5,721.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $6,450.00 / $12,742.00	Facility		$2,337.00	$6,450.00	$12,742.00
United Facility/Professional Professional Modifier Low / Median / High Price $956.23 / $1,953.58 / $4,805.71	Professional		$956.23	$1,953.58	$4,805.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,688.56 / $1,688.56 / $5,333.19	Facility		$1,688.56	$1,688.56	$5,333.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,199.93 / $1,779.96 / $3,737.77	Professional		$1,199.93	$1,779.96	$3,737.77