Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $5,623.41 / $12,022.64	Facility		$1,288.25	$5,623.41	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $1,174.90 / $3,467.37	Professional		$831.76	$1,174.90	$3,467.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $812.83 / $2,344.23	Professional		$630.96	$812.83	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $2,630.27 / $12,302.69	Facility		$1,288.25	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,288.25 / $1,288.25	Professional		$1,288.25	$1,288.25	$1,288.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $2,290.87 / $50,118.72	Facility		$1,479.11	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,479.11 / $3,981.07	Professional		$676.08	$1,479.11	$3,981.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,445.44 / $3,090.30	Facility		$870.96	$1,445.44	$3,090.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,122.02 / $1,621.81	Professional		$851.14	$1,122.02	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $1,905.46	Professional		$660.69	$1,023.29	$1,905.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,762.47 / $10,232.93	Facility		$5,754.40	$7,762.47	$10,232.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $50,118.72 / $75,857.76	Facility		$912.01	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,148.15 / $1,862.09	Professional		$398.11	$1,148.15	$1,862.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $954.99 / $2,570.40	Professional		$478.63	$954.99	$2,570.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $954.99 / $2,818.38	Facility		$724.44	$954.99	$2,818.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $1,023.29 / $2,511.89	Professional		$660.69	$1,023.29	$2,511.89