Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $839.77 / $994.47 / $1,840.80	Facility		$839.77	$994.47	$1,840.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $839.77 / $1,071.32 / $1,440.71	Professional		$839.77	$1,071.32	$1,440.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,285.19 / $2,330.89 / $4,570.38	Facility		$2,285.19	$2,330.89	$4,570.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,711.10 / $1,711.10 / $3,933.44	Professional		$1,711.10	$1,711.10	$3,933.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,770.62 / $1,903.89 / $1,903.89	Facility		$1,770.62	$1,903.89	$1,903.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,903.89 / $1,903.89 / $1,903.89	Professional		$1,903.89	$1,903.89	$1,903.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,314.00 / $1,800.00	Professional		$1,314.00	$1,314.00	$1,800.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,285.19 / $5,141.68	Facility		$319.00	$2,285.19	$5,141.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,293.44 / $1,691.04 / $4,113.34	Professional		$1,293.44	$1,691.04	$4,113.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,616.80 / $1,616.80 / $1,616.80	Facility		$1,616.80	$1,616.80	$1,616.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,373.86 / $1,459.73 / $1,903.89	Professional		$1,373.86	$1,459.73	$1,903.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,853.59 / $1,853.59 / $1,853.59	Professional		$1,853.59	$1,853.59	$1,853.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,800.00 / $2,285.19	Facility		$597.00	$1,800.00	$2,285.19
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,361.45 / $3,459.03	Professional		$1,314.00	$1,361.45	$3,459.03
United Facility/Professional Professional Modifier Low / Median / High Price $760.04 / $1,406.73 / $2,090.10	Professional		$760.04	$1,406.73	$2,090.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,373.86 / $1,373.86 / $1,427.70	Facility		$1,373.86	$1,373.86	$1,427.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,373.86 / $1,373.86 / $1,616.80	Professional		$1,373.86	$1,373.86	$1,616.80