Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,419.89 / $6,218.47 / $9,194.45	Professional		$2,419.89	$6,218.47	$9,194.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,075.38 / $4,684.77 / $6,222.90	Professional		$4,075.38	$4,684.77	$6,222.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $795.30 / $795.30 / $10,338.90	Facility		$795.30	$795.30	$10,338.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $795.30 / $795.30 / $10,338.90	Professional		$795.30	$795.30	$10,338.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $3,969.00	Facility		$3,969.00	$3,969.00	$3,969.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $3,373.65 / $11,066.25	Professional		$708.38	$3,373.65	$11,066.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,269.79 / $5,337.24 / $5,337.24	Professional		$4,269.79	$5,337.24	$5,337.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,581.57 / $4,581.57 / $5,337.24	Professional		$4,581.57	$4,581.57	$5,337.24
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $6,889.37 / $6,889.37 / $6,889.37	Professional		$6,889.37	$6,889.37	$6,889.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,969.00 / $3,969.00 / $3,969.00	Facility		$3,969.00	$3,969.00	$3,969.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $708.38 / $3,791.95 / $11,066.25	Professional		$708.38	$3,791.95	$11,066.25
United Facility/Professional Facility Modifier Low / Median / High Price $534.91 / $635.21 / $4,234.72	Facility		$534.91	$635.21	$4,234.72
United Facility/Professional Professional Modifier Low / Median / High Price $2,116.56 / $3,174.84 / $5,156.51	Professional		$2,116.56	$3,174.84	$5,156.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $4,581.57 / $4,581.57 / $4,581.57	Facility		$4,581.57	$4,581.57	$4,581.57
Univera Facility/Professional Professional Modifier Low / Median / High Price $4,581.57 / $4,581.57 / $5,337.24	Professional		$4,581.57	$4,581.57	$5,337.24