Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,125.55 / $5,321.96 / $8,539.89	Facility		$4,125.55	$5,321.96	$8,539.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,703.13	Professional		$4,128.02	$4,128.02	$4,703.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,302.42 / $3,302.42 / $4,128.02	Facility		$3,302.42	$3,302.42	$4,128.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $4,128.02 / $4,128.02	Professional		$113.92	$4,128.02	$4,128.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $69.89 / $73.38	Facility		$69.89	$69.89	$73.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.89 / $69.89 / $69.89	Professional		$69.89	$69.89	$69.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $3,894.36 / $3,988.33	Facility		$67.65	$3,894.36	$3,988.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,128.02	Professional		$4,128.02	$4,128.02	$4,128.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,478.51 / $8,762.31	Facility		$319.00	$4,478.51	$8,762.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,283.80 / $4,478.51 / $5,036.18	Professional		$4,283.80	$4,478.51	$5,036.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,128.02 / $4,128.02 / $4,283.79	Facility		$4,128.02	$4,128.02	$4,283.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,283.79 / $4,283.79	Professional		$4,128.02	$4,283.79	$4,283.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,453.89 / $1,453.89 / $2,626.30	Facility		$1,453.89	$1,453.89	$2,626.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.65 / $3,894.36 / $4,128.02	Facility		$67.65	$3,894.36	$4,128.02
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $133.00 / $4,128.02 / $4,307.39	Professional		$133.00	$4,128.02	$4,307.39
United Facility/Professional Professional Modifier Low / Median / High Price $4,010.37 / $4,375.70 / $5,531.55	Professional		$4,010.37	$4,375.70	$5,531.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,283.79 / $4,283.79 / $4,283.79	Facility		$4,283.79	$4,283.79	$4,283.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,128.02 / $4,283.79 / $4,283.79	Professional		$4,128.02	$4,283.79	$4,283.79