Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $874.10 / $1,035.10 / $1,916.04	Facility		$874.10	$1,035.10	$1,916.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $874.10 / $1,115.76 / $1,499.59	Professional		$874.10	$1,115.76	$1,499.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,378.58 / $2,426.15 / $4,757.16	Facility		$2,378.58	$2,426.15	$4,757.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,556.88 / $1,556.88 / $3,999.79	Professional		$1,556.88	$1,556.88	$3,999.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,842.98 / $1,981.70 / $1,981.70	Facility		$1,842.98	$1,981.70	$1,981.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,981.70 / $1,981.70 / $1,981.70	Professional		$1,981.70	$1,981.70	$1,981.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,486.28 / $1,486.28 / $1,486.28	Facility		$1,486.28	$1,486.28	$1,486.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,084.98 / $1,486.28	Professional		$1,084.98	$1,084.98	$1,486.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,378.58 / $5,351.81	Facility		$319.00	$2,378.58	$5,351.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,228.22 / $1,783.94 / $4,281.43	Professional		$1,228.22	$1,783.94	$4,281.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.70 / $1,029.70 / $1,029.70	Facility		$1,029.70	$1,029.70	$1,029.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,029.70 / $1,430.02 / $1,705.67	Professional		$1,029.70	$1,430.02	$1,705.67
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,929.35 / $1,929.35 / $1,929.35	Professional		$1,929.35	$1,929.35	$1,929.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,486.28 / $2,378.58	Facility		$597.00	$1,486.28	$2,378.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,084.98 / $1,417.10 / $3,546.24	Professional		$1,084.98	$1,417.10	$3,546.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,428.89 / $1,428.89 / $1,428.89	Facility		$1,428.89	$1,428.89	$1,428.89
United Facility/Professional Professional Modifier Low / Median / High Price $791.10 / $1,538.92 / $2,180.67	Professional		$791.10	$1,538.92	$2,180.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,430.02 / $1,430.02 / $1,486.05	Facility		$1,430.02	$1,430.02	$1,486.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,029.70 / $1,430.02 / $1,519.39	Professional		$1,029.70	$1,430.02	$1,519.39