Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,610.47 / $5,700.00 / $12,568.00	Facility		$1,610.47	$5,700.00	$12,568.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,176.48 / $1,568.51 / $2,737.26	Professional		$1,176.48	$1,568.51	$2,737.26
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 $1,000.26 / $1,307.53 / $3,196.06	Professional		$1,000.26	$1,307.53	$3,196.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,831.45 / $3,478.50 / $13,477.50	Facility		$1,831.45	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,831.45 / $1,831.45 / $1,831.45	Professional		$1,831.45	$1,831.45	$1,831.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,441.32 / $1,441.32 / $10,297.11	Facility		$1,441.32	$1,441.32	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $988.79 / $2,214.82 / $4,647.00	Professional		$988.79	$2,214.82	$4,647.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,932.00 / $3,335.60	Facility		$332.00	$1,932.00	$3,335.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,482.49 / $1,729.76 / $2,588.67	Professional		$1,482.49	$1,729.76	$2,588.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $971.27 / $1,192.94 / $2,350.10	Professional		$971.27	$1,192.94	$2,350.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,408.51 / $5,408.51 / $5,408.51	Facility		$5,408.51	$5,408.51	$5,408.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,441.32 / $10,297.11	Facility		$555.00	$1,441.32	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,100.97 / $2,179.16 / $4,647.00	Professional		$1,100.97	$2,179.16	$4,647.00
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 $762.91 / $1,545.11 / $3,837.93	Professional		$762.91	$1,545.11	$3,837.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,367.39 / $1,367.39 / $4,272.10	Facility		$1,367.39	$1,367.39	$4,272.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $971.27 / $1,493.25 / $3,026.83	Professional		$971.27	$1,493.25	$3,026.83