Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,156.60 / $1,156.60 / $1,540.38	Facility		$1,156.60	$1,156.60	$1,540.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,035.50 / $1,467.00 / $2,068.98	Professional		$1,035.50	$1,467.00	$2,068.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,467.50 / $1,467.50 / $2,803.05	Professional		$1,467.50	$1,467.50	$2,803.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $219.22 / $219.22 / $2,849.86	Facility		$219.22	$219.22	$2,849.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.22 / $219.22 / $2,849.86	Professional		$219.22	$219.22	$2,849.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.35 / $1,491.30 / $2,887.50	Professional		$172.35	$1,491.30	$2,887.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,782.57 / $2,228.21 / $2,228.21	Professional		$1,782.57	$2,228.21	$2,228.21
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,228.21 / $2,228.21 / $2,228.21	Facility		$2,228.21	$2,228.21	$2,228.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,138.73 / $2,228.21 / $2,272.41	Professional		$2,138.73	$2,228.21	$2,272.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,962.66 / $1,962.66 / $1,962.66	Professional		$1,962.66	$1,962.66	$1,962.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,491.30 / $2,887.50	Professional		$160.65	$1,491.30	$2,887.50
United Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $913.71 / $1,570.80	Facility		$104.39	$913.71	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $804.05 / $1,261.05 / $2,010.13	Professional		$804.05	$1,261.05	$2,010.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,535.48 / $2,138.73 / $2,138.73	Facility		$1,535.48	$2,138.73	$2,138.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,138.73 / $2,138.73 / $2,272.41	Professional		$2,138.73	$2,138.73	$2,272.41