Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,449.67 / $1,716.71 / $3,177.72	Facility		$1,449.67	$1,716.71	$3,177.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,449.67 / $1,865.29 / $2,487.05	Professional		$1,449.67	$1,865.29	$2,487.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,944.84 / $4,023.74 / $7,889.68	Facility		$3,944.84	$4,023.74	$7,889.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,859.80 / $2,859.80 / $6,790.16	Professional		$2,859.80	$2,859.80	$6,790.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,056.56 / $3,286.62 / $3,286.62	Facility		$3,056.56	$3,286.62	$3,286.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,286.62 / $3,286.62 / $3,286.62	Professional		$3,286.62	$3,286.62	$3,286.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $1,811.20 / $2,481.10	Professional		$1,811.20	$1,811.20	$2,481.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,944.84 / $8,875.89	Facility		$319.00	$3,944.84	$8,875.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,232.82 / $2,958.63 / $7,100.71	Professional		$2,232.82	$2,958.63	$7,100.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,791.02 / $2,791.02 / $2,791.02	Facility		$2,791.02	$2,791.02	$2,791.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,371.66 / $2,519.88 / $3,286.62	Professional		$2,371.66	$2,519.88	$3,286.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,199.79 / $3,199.79 / $3,199.79	Professional		$3,199.79	$3,199.79	$3,199.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,481.10 / $3,944.84	Facility		$597.00	$2,481.10	$3,944.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,438.11 / $5,877.81	Professional		$1,811.20	$2,438.11	$5,877.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,486.02 / $2,600.65 / $2,965.23	Facility		$1,486.02	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,312.02 / $2,383.29 / $3,608.07	Professional		$1,312.02	$2,383.29	$3,608.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,371.66 / $2,371.66 / $2,635.83	Facility		$2,371.66	$2,371.66	$2,635.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,371.66 / $2,371.66 / $2,791.02	Professional		$2,371.66	$2,371.66	$2,791.02