Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.32 / $945.38 / $1,749.94	Facility		$798.32	$945.38	$1,749.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $798.32 / $1,082.63 / $1,369.60	Professional		$798.32	$1,082.63	$1,369.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,172.39 / $2,215.84 / $4,344.78	Facility		$2,172.39	$2,215.84	$4,344.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,317.91 / $1,317.91 / $3,512.23	Professional		$1,317.91	$1,317.91	$3,512.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,683.23 / $1,809.92 / $1,809.92	Facility		$1,683.23	$1,809.92	$1,809.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,809.92 / $1,809.92 / $1,809.92	Professional		$1,809.92	$1,809.92	$1,809.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,167.99 / $1,599.98	Professional		$1,167.99	$1,167.99	$1,599.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,172.39 / $4,887.88	Facility		$319.00	$2,172.39	$4,887.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,281.71 / $1,647.24 / $3,910.30	Professional		$1,281.71	$1,647.24	$3,910.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,647.24 / $1,647.24 / $1,647.24	Facility		$1,647.24	$1,647.24	$1,647.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,306.05 / $1,387.68 / $1,809.92	Professional		$1,306.05	$1,387.68	$1,809.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,172.39 / $2,172.39 / $2,172.39	Facility		$2,172.39	$2,172.39	$2,172.39
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,762.10 / $1,762.10 / $1,762.10	Professional		$1,762.10	$1,762.10	$1,762.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,599.98 / $2,172.39	Facility		$597.00	$1,599.98	$2,172.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,294.25 / $3,236.86	Professional		$1,167.99	$1,294.25	$3,236.86
United Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,356.66 / $1,986.93	Professional		$722.52	$1,356.66	$1,986.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,306.05 / $1,306.05 / $1,357.21	Facility		$1,306.05	$1,306.05	$1,357.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,306.05 / $1,306.05 / $1,647.24	Professional		$1,306.05	$1,306.05	$1,647.24