Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $948.75 / $1,212.81 / $2,917.89	Facility		$948.75	$1,212.81	$2,917.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $948.75 / $1,212.81 / $1,757.03	Professional		$948.75	$1,212.81	$1,757.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,786.92 / $2,842.66 / $5,573.84	Facility		$2,786.92	$2,842.66	$5,573.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,258.95 / $1,258.95 / $4,070.99	Professional		$1,258.95	$1,258.95	$4,070.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,159.37 / $2,321.90 / $2,321.90	Facility		$2,159.37	$2,321.90	$2,321.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,321.90 / $2,321.90 / $2,321.90	Professional		$2,321.90	$2,321.90	$2,321.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $953.43 / $1,306.07	Professional		$953.43	$953.43	$1,306.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,786.92 / $6,270.57	Facility		$319.00	$2,786.92	$6,270.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,439.07 / $2,062.32 / $5,016.46	Professional		$1,439.07	$2,062.32	$5,016.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,570.05 / $1,570.05 / $1,570.05	Facility		$1,570.05	$1,570.05	$1,570.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,570.05 / $1,675.51 / $1,998.49	Professional		$1,570.05	$1,675.51	$1,998.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,260.57 / $2,260.57 / $2,260.57	Professional		$2,260.57	$2,260.57	$2,260.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,306.07 / $2,786.92	Facility		$597.00	$1,306.07	$2,786.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $3,315.79	Professional		$953.43	$1,306.07	$3,315.79
United Facility/Professional Professional Modifier Low / Median / High Price $926.91 / $1,390.36 / $2,411.42	Professional		$926.91	$1,390.36	$2,411.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,675.51 / $1,675.51 / $1,741.17	Facility		$1,675.51	$1,675.51	$1,741.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,570.05 / $1,675.51 / $1,780.22	Professional		$1,570.05	$1,675.51	$1,780.22