Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.35 / $2,429.21 / $4,496.59	Facility		$2,051.35	$2,429.21	$4,496.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,051.35 / $2,704.26 / $3,519.27	Professional		$2,051.35	$2,704.26	$3,519.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,582.09 / $5,693.73 / $11,164.18	Facility		$5,582.09	$5,693.73	$11,164.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,643.96 / $3,643.96 / $9,386.75	Professional		$3,643.96	$3,643.96	$9,386.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4,325.14 / $4,650.68 / $4,650.68	Facility		$4,325.14	$4,650.68	$4,650.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4,650.68 / $4,650.68 / $4,650.68	Professional		$4,650.68	$4,650.68	$4,650.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,052.23 / $4,052.23 / $4,052.23	Facility		$4,052.23	$4,052.23	$4,052.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $2,958.13 / $4,052.23	Professional		$2,958.13	$2,958.13	$4,052.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $5,582.09 / $12,559.70	Facility		$319.00	$5,582.09	$12,559.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,882.41 / $4,186.57 / $10,047.76	Professional		$2,882.41	$4,186.57	$10,047.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,556.31 / $2,556.31 / $2,556.31	Facility		$2,556.31	$2,556.31	$2,556.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,556.31 / $3,355.99 / $4,002.89	Professional		$2,556.31	$3,355.99	$4,002.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,527.83 / $4,527.83 / $4,527.83	Professional		$4,527.83	$4,527.83	$4,527.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $4,052.23 / $5,582.09	Facility		$597.00	$4,052.23	$5,582.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,958.13 / $3,450.01 / $8,317.31	Professional		$2,958.13	$3,450.01	$8,317.31
United Facility/Professional Professional Modifier Low / Median / High Price $1,856.56 / $3,387.78 / $5,105.55	Professional		$1,856.56	$3,387.78	$5,105.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $3,355.99 / $3,355.99 / $3,729.80	Facility		$3,355.99	$3,355.99	$3,729.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,556.31 / $3,355.99 / $3,565.74	Professional		$2,556.31	$3,355.99	$3,565.74