Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $5,041.31 / $8,320.86	Facility		$2,919.60	$5,041.31	$8,320.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,880.00 / $2,919.60 / $3,386.74	Professional		$1,880.00	$2,919.60	$3,386.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $7,590.96	Facility		$2,919.60	$2,919.60	$7,590.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,167.83 / $1,167.83 / $4,058.24	Professional		$1,167.83	$1,167.83	$4,058.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,751.76 / $2,919.60 / $2,919.60	Facility		$1,751.76	$2,919.60	$2,919.60
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,919.60 / $2,919.60 / $2,919.60	Professional		$2,919.60	$2,919.60	$2,919.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.13 / $5,912.31 / $7,576.01	Facility		$2,040.13	$5,912.31	$7,576.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,759.04 / $3,951.48 / $14,072.47	Professional		$1,759.04	$3,951.48	$14,072.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,795.48 / $6,569.10	Facility		$319.00	$3,795.48	$6,569.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.02 / $2,335.67 / $5,342.87	Professional		$1,343.02	$2,335.67	$5,342.87
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,874.12 / $2,773.62 / $3,436.36	Professional		$1,874.12	$2,773.62	$3,436.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $834.82 / $834.82 / $2,250.00	Facility		$834.82	$834.82	$2,250.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $6,167.66 / $7,576.01	Facility		$555.00	$6,167.66	$7,576.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $3,269.95 / $8,758.79	Professional		$640.00	$3,269.95	$8,758.79
United Facility/Professional Professional Modifier Low / Median / High Price $1,226.23 / $1,751.76 / $4,424.89	Professional		$1,226.23	$1,751.76	$4,424.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $3,094.78 / $3,094.78	Facility		$28.33	$3,094.78	$3,094.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,828.55 / $2,773.62 / $3,436.36	Professional		$1,828.55	$2,773.62	$3,436.36