Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $720.36 / $921.77 / $1,706.23	Facility		$720.36	$921.77	$1,706.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $720.36 / $921.77 / $1,335.38	Professional		$720.36	$921.77	$1,335.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,118.12 / $2,160.48 / $4,236.24	Facility		$2,118.12	$2,160.48	$4,236.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,124.88 / $1,124.88 / $3,264.70	Professional		$1,124.88	$1,124.88	$3,264.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,641.17 / $1,764.70 / $1,764.70	Facility		$1,641.17	$1,764.70	$1,764.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,764.70 / $1,764.70 / $1,764.70	Professional		$1,764.70	$1,764.70	$1,764.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,037.25 / $1,037.25 / $1,037.25	Facility		$1,037.25	$1,037.25	$1,037.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $757.19 / $1,037.25	Professional		$757.19	$757.19	$1,037.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,118.12 / $4,765.77	Facility		$319.00	$2,118.12	$4,765.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,093.74 / $1,525.05 / $3,812.62	Professional		$1,093.74	$1,525.05	$3,812.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,278.41 / $1,278.41 / $1,278.41	Facility		$1,278.41	$1,278.41	$1,278.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,278.41 / $1,335.77 / $1,534.09	Professional		$1,278.41	$1,335.77	$1,534.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,718.09 / $1,718.09 / $1,718.09	Professional		$1,718.09	$1,718.09	$1,718.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,037.25 / $2,118.12	Facility		$597.00	$1,037.25	$2,118.12
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $757.19 / $1,037.25 / $2,573.91	Professional		$757.19	$1,037.25	$2,573.91
United Facility/Professional Professional Modifier Low / Median / High Price $704.47 / $1,056.71 / $1,941.88	Professional		$704.47	$1,056.71	$1,941.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,335.77 / $1,335.77 / $1,335.77	Facility		$1,335.77	$1,335.77	$1,335.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,278.41 / $1,335.77 / $1,419.25	Professional		$1,278.41	$1,335.77	$1,419.25