Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.79 / $2,901.56 / $5,200.91	Facility		$1,354.79	$2,901.56	$5,200.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,075.00 / $1,501.96 / $2,737.32	Professional		$1,075.00	$1,501.96	$2,737.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $4,744.68	Facility		$1,824.88	$1,824.88	$4,744.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $901.17 / $1,317.97 / $4,773.10	Professional		$901.17	$1,317.97	$4,773.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,094.93 / $1,824.88 / $1,824.88	Facility		$1,094.93	$1,824.88	$1,824.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,824.88 / $1,824.88 / $1,824.88	Professional		$1,824.88	$1,824.88	$1,824.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,231.86 / $3,855.05 / $4,871.38	Facility		$2,231.86	$3,855.05	$4,871.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,357.35 / $3,099.50 / $6,825.69	Professional		$1,357.35	$3,099.50	$6,825.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,824.88 / $4,105.97	Facility		$332.00	$1,824.88	$4,105.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,277.42 / $1,916.12 / $3,412.53	Professional		$1,277.42	$1,916.12	$3,412.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,459.90 / $1,733.64 / $3,254.77	Professional		$1,459.90	$1,733.64	$3,254.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,562.20 / $4,562.20 / $4,562.20	Facility		$4,562.20	$4,562.20	$4,562.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $3,987.55 / $4,871.38	Facility		$254.50	$3,987.55	$4,871.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,459.90 / $2,834.47 / $5,887.97	Professional		$1,459.90	$2,834.47	$5,887.97
United Facility/Professional Professional Modifier Low / Median / High Price $766.45 / $1,094.93 / $2,864.79	Professional		$766.45	$1,094.93	$2,864.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,934.38 / $1,934.38 / $3,622.92	Facility		$1,934.38	$1,934.38	$3,622.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,551.15 / $1,824.88 / $4,001.30	Professional		$1,551.15	$1,824.88	$4,001.30