Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,555.19 / $5,638.62 / $18,577.61	Facility		$2,555.19	$5,638.62	$18,577.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,365.92 / $2,845.97 / $3,130.56	Professional		$2,365.92	$2,845.97	$3,130.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,755.70 / $1,755.70 / $2,194.62	Facility		$1,755.70	$1,755.70	$2,194.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $2,285.92 / $2,857.40	Professional		$140.25	$2,285.92	$2,857.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $2,857.40	Facility		$2,857.40	$2,857.40	$2,857.40
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $2,857.40	Professional		$2,857.40	$2,857.40	$2,857.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $3,092.05 / $3,092.05	Facility		$2,914.55	$3,092.05	$3,092.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $4,721.57	Facility		$2,914.55	$2,914.55	$4,721.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,477.37 / $2,914.55 / $2,914.55	Professional		$2,477.37	$2,914.55	$2,914.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $3,028.84 / $3,028.84	Facility		$2,914.55	$3,028.84	$3,028.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $3,028.84 / $3,028.84	Professional		$2,914.55	$3,028.84	$3,028.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,860.54 / $4,860.54 / $4,860.54	Facility		$4,860.54	$4,860.54	$4,860.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,001.99 / $3,092.05	Facility		$597.00	$3,001.99	$3,092.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Professional		$2,914.55	$2,914.55	$2,914.55
United Facility/Professional Professional Modifier Low / Median / High Price $2,857.40 / $2,857.40 / $3,857.03	Professional		$2,857.40	$2,857.40	$3,857.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $2,914.55	Facility		$2,914.55	$2,914.55	$2,914.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,914.55 / $2,914.55 / $3,028.84	Professional		$2,914.55	$2,914.55	$3,028.84