Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,031.20 / $8,301.48 / $14,338.90	Facility		$5,031.20	$8,301.48	$14,338.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,000.00 / $5,031.20 / $12,125.20	Professional		$2,000.00	$5,031.20	$12,125.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $846.27 / $846.27 / $6,790.11	Professional		$846.27	$846.27	$6,790.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,018.72 / $5,031.20 / $5,031.20	Facility		$3,018.72	$5,031.20	$5,031.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5,031.20 / $5,031.20 / $5,031.20	Professional		$5,031.20	$5,031.20	$5,031.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,037.44 / $10,188.77 / $13,055.86	Facility		$6,037.44	$10,188.77	$13,055.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3,053.97 / $7,321.01 / $24,250.38	Professional		$3,053.97	$7,321.01	$24,250.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $6,540.56 / $11,320.20	Facility		$319.00	$6,540.56	$11,320.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,521.84 / $5,249.05 / $9,207.10	Professional		$3,521.84	$5,249.05	$9,207.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,276.52 / $4,968.99 / $9,123.04	Professional		$4,276.52	$4,968.99	$9,123.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,364.64 / $7,364.64 / $7,364.64	Facility		$7,364.64	$7,364.64	$7,364.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $10,628.41 / $13,055.86	Facility		$254.50	$10,628.41	$13,055.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $6,062.43 / $15,093.60	Professional		$640.00	$6,062.43	$15,093.60
United Facility/Professional Professional Modifier Low / Median / High Price $2,113.10 / $3,018.72 / $7,625.19	Professional		$2,113.10	$3,018.72	$7,625.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $5,333.08 / $5,333.08 / $6,516.22	Facility		$5,333.08	$5,333.08	$6,516.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,276.52 / $5,031.20 / $6,897.83	Professional		$4,276.52	$5,031.20	$6,897.83