Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,137.13 / $6,041.88 / $10,844.40	Facility		$3,137.13	$6,041.88	$10,844.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,110.79 / $3,020.94 / $5,615.85	Professional		$2,110.79	$3,020.94	$5,615.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,873.00 / $3,873.00 / $10,069.79	Facility		$3,873.00	$3,873.00	$10,069.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,549.20 / $2,241.84 / $8,830.44	Professional		$1,549.20	$2,241.84	$8,830.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,323.80 / $3,873.00 / $3,873.00	Facility		$2,323.80	$3,873.00	$3,873.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,827.29 / $3,873.00 / $3,873.00	Professional		$2,827.29	$3,873.00	$3,873.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,647.60 / $7,843.50 / $10,050.62	Facility		$4,647.60	$7,843.50	$10,050.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,333.27 / $5,025.28 / $12,505.27	Professional		$2,333.27	$5,025.28	$12,505.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $3,873.00 / $8,714.25	Facility		$332.00	$3,873.00	$8,714.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,711.10 / $4,040.70 / $7,087.59	Professional		$2,711.10	$4,040.70	$7,087.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,069.48 / $2,069.48 / $2,069.48	Facility		$2,069.48	$2,069.48	$2,069.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,069.48 / $3,679.35 / $4,558.51	Professional		$2,069.48	$3,679.35	$4,558.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,129.28 / $4,129.28 / $4,129.28	Facility		$4,129.28	$4,129.28	$4,129.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $254.50 / $8,181.71 / $10,050.62	Facility		$254.50	$8,181.71	$10,050.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,350.98 / $4,841.25 / $11,619.00	Professional		$2,350.98	$4,841.25	$11,619.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,485.70 / $3,485.70 / $3,873.00	Facility		$3,485.70	$3,485.70	$3,873.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,626.66 / $2,323.80 / $5,869.84	Professional		$1,626.66	$2,323.80	$5,869.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,105.39 / $4,105.39 / $5,016.16	Facility		$4,105.39	$4,105.39	$5,016.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,669.64 / $3,873.00 / $5,016.16	Professional		$2,669.64	$3,873.00	$5,016.16