Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,429.39 / $5,796.00 / $12,466.00	Facility		$1,429.39	$5,796.00	$12,466.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,033.44 / $1,354.01 / $2,554.40	Professional		$1,033.44	$1,354.01	$2,554.40
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 $883.20 / $1,154.52 / $2,769.65	Professional		$883.20	$1,154.52	$2,769.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,591.29 / $3,478.50 / $13,477.50	Facility		$1,591.29	$3,478.50	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,591.29 / $1,591.29 / $1,591.29	Professional		$1,591.29	$1,591.29	$1,591.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,250.82 / $1,250.82 / $10,297.11	Facility		$1,250.82	$1,250.82	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.47 / $1,939.46 / $4,026.87	Professional		$851.47	$1,939.46	$4,026.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,887.61 / $3,165.48	Facility		$332.00	$1,887.61	$3,165.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.32 / $1,495.65 / $2,238.31	Professional		$1,278.32	$1,495.65	$2,238.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $836.83 / $1,187.99 / $2,041.78	Professional		$836.83	$1,187.99	$2,041.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,166.62 / $6,166.62 / $6,166.62	Facility		$6,166.62	$6,166.62	$6,166.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,250.82 / $10,297.11	Facility		$555.00	$1,250.82	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $964.48 / $1,904.70 / $4,026.87	Professional		$964.48	$1,904.70	$4,026.87
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 $662.20 / $1,357.05 / $3,097.21	Professional		$662.20	$1,357.05	$3,097.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,187.99 / $1,187.99 / $3,692.87	Facility		$1,187.99	$1,187.99	$3,692.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $836.83 / $1,291.14 / $2,629.73	Professional		$836.83	$1,291.14	$2,629.73