Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.07 / $760.70 / $1,408.09	Facility		$595.07	$760.70	$1,408.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $595.07 / $763.75 / $1,102.05	Professional		$595.07	$763.75	$1,102.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,748.01 / $1,782.97 / $3,496.02	Facility		$1,748.01	$1,782.97	$3,496.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $968.81 / $968.81 / $2,712.66	Professional		$968.81	$968.81	$2,712.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,354.41 / $1,456.35 / $1,456.35	Facility		$1,354.41	$1,456.35	$1,456.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,456.35 / $1,456.35 / $1,456.35	Professional		$1,456.35	$1,456.35	$1,456.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,162.20 / $1,162.20 / $1,433.06	Facility		$1,162.20	$1,162.20	$1,433.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $848.41 / $1,433.06	Professional		$848.41	$848.41	$1,433.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,748.01 / $3,933.02	Facility		$319.00	$1,748.01	$3,933.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,293.53 / $3,146.42	Professional		$989.40	$1,293.53	$3,146.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,236.75 / $1,236.75 / $1,236.75	Facility		$1,236.75	$1,236.75	$1,236.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $1,116.58 / $1,456.35	Professional		$1,050.90	$1,116.58	$1,456.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,417.88 / $1,417.88 / $1,417.88	Professional		$1,417.88	$1,417.88	$1,417.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,162.20 / $1,748.01	Facility		$597.00	$1,162.20	$1,748.01
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $848.41 / $1,080.35 / $2,304.78	Professional		$848.41	$1,080.35	$2,304.78
United Facility/Professional Professional Modifier Low / Median / High Price $581.38 / $886.12 / $1,599.89	Professional		$581.38	$886.12	$1,599.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,050.90 / $1,050.90 / $1,167.97	Facility		$1,050.90	$1,050.90	$1,167.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,050.90 / $1,050.90 / $1,236.75	Professional		$1,050.90	$1,050.90	$1,236.75