Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $932.18 / $1,946.08 / $3,184.17	Professional		$932.18	$1,946.08	$3,184.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,433.71 / $2,433.71 / $3,042.15	Professional		$2,433.71	$2,433.71	$3,042.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $3,580.46	Facility		$275.42	$275.42	$3,580.46
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $3,580.46	Professional		$275.42	$275.42	$3,580.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,468.80	Facility		$1,440.00	$1,440.00	$1,468.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $2,199.96	Professional		$1,224.00	$1,440.00	$2,199.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,848.09 / $2,219.14 / $2,310.11	Professional		$1,848.09	$2,219.14	$2,310.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,930.73 / $2,051.40 / $2,310.11	Professional		$1,930.73	$2,051.40	$2,310.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,863.03 / $2,863.03 / $2,863.03	Professional		$2,863.03	$2,863.03	$2,863.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $1,468.80	Facility		$1,440.00	$1,440.00	$1,468.80
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,224.00 / $1,440.00 / $2,199.96	Professional		$1,224.00	$1,440.00	$2,199.96
United Facility/Professional Professional Modifier Low / Median / High Price $1,125.99 / $1,658.38 / $2,301.00	Professional		$1,125.99	$1,658.38	$2,301.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,930.73 / $1,930.73 / $1,930.73	Facility		$1,930.73	$1,930.73	$1,930.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,930.73 / $1,930.73 / $2,310.11	Professional		$1,930.73	$1,930.73	$2,310.11