Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.91 / $768.16 / $1,848.12	Facility		$600.91	$768.16	$1,848.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.91 / $915.51 / $1,112.85	Professional		$600.91	$915.51	$1,112.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,765.16 / $1,800.46 / $3,530.32	Facility		$1,765.16	$1,800.46	$3,530.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,138.79 / $1,138.79 / $2,968.28	Professional		$1,138.79	$1,138.79	$2,968.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,367.70 / $1,470.64 / $1,470.64	Facility		$1,367.70	$1,470.64	$1,470.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,470.64 / $1,470.64 / $1,470.64	Professional		$1,470.64	$1,470.64	$1,470.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $1,184.20	Professional		$864.47	$864.47	$1,184.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,765.16 / $3,971.61	Facility		$319.00	$1,765.16	$3,971.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $989.40 / $1,323.87 / $3,177.29	Professional		$989.40	$1,323.87	$3,177.29
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 $1,061.24 / $1,127.55 / $1,470.64	Professional		$1,061.24	$1,127.55	$1,470.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,431.79 / $1,431.79 / $1,431.79	Professional		$1,431.79	$1,431.79	$1,431.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,184.20 / $1,765.16	Facility		$597.00	$1,184.20	$1,765.16
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $1,051.64 / $2,736.00	Professional		$864.47	$1,051.64	$2,736.00
United Facility/Professional Professional Modifier Low / Median / High Price $587.08 / $1,008.07 / $1,589.28	Professional		$587.08	$1,008.07	$1,589.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,061.24 / $1,061.24 / $1,102.82	Facility		$1,061.24	$1,061.24	$1,102.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,061.24 / $1,061.24 / $1,236.75	Professional		$1,061.24	$1,061.24	$1,236.75