Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,113.23 / $2,726.08 / $5,750.70	Facility		$2,113.23	$2,726.08	$5,750.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,351.23 / $3,935.19	Professional		$2,116.32	$2,351.23	$3,935.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,693.06 / $1,693.06 / $2,116.32	Facility		$1,693.06	$1,693.06	$2,116.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,001.49 / $2,116.32 / $2,728.58	Professional		$2,001.49	$2,116.32	$2,728.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,858.04 / $1,858.04 / $1,950.94	Facility		$1,858.04	$1,858.04	$1,950.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,858.04 / $1,858.04 / $1,858.04	Professional		$1,858.04	$1,858.04	$1,858.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,882.39 / $1,996.53 / $2,116.32	Facility		$1,882.39	$1,996.53	$2,116.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,116.32	Professional		$2,116.32	$2,116.32	$2,116.32
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,196.17 / $4,492.18	Facility		$319.00	$2,196.17	$4,492.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,196.17 / $2,196.17 / $2,735.25	Professional		$2,196.17	$2,196.17	$2,735.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,196.17	Facility		$2,116.32	$2,116.32	$2,196.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $2,196.17	Professional		$2,116.32	$2,116.32	$2,196.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.43 / $2,055.64 / $2,993.61	Facility		$281.43	$2,055.64	$2,993.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,827.56 / $1,996.53 / $2,116.32	Facility		$1,827.56	$1,996.53	$2,116.32
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $2,116.32 / $2,930.70	Professional		$200.00	$2,116.32	$2,930.70
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.32 / $2,116.32 / $3,120.68	Professional		$2,116.32	$2,116.32	$3,120.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,196.17 / $2,196.17 / $2,196.17	Facility		$2,196.17	$2,196.17	$2,196.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,113.04 / $2,116.32 / $2,196.17	Professional		$1,113.04	$2,116.32	$2,196.17