Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,230.40 / $1,457.05 / $2,697.06	Facility		$1,230.40	$1,457.05	$2,697.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,230.40 / $1,528.10 / $2,110.86	Professional		$1,230.40	$1,528.10	$2,110.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,348.14 / $3,415.10 / $6,696.28	Facility		$3,348.14	$3,415.10	$6,696.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,055.03 / $2,055.03 / $5,476.65	Professional		$2,055.03	$2,055.03	$5,476.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,594.23 / $2,789.49 / $2,789.49	Facility		$2,594.23	$2,789.49	$2,789.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,789.49 / $2,789.49 / $2,789.49	Professional		$2,789.49	$2,789.49	$2,789.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,752.00 / $2,400.00	Professional		$1,752.00	$1,752.00	$2,400.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,348.14 / $7,533.32	Facility		$319.00	$3,348.14	$7,533.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,895.08 / $2,511.11 / $6,026.65	Professional		$1,895.08	$2,511.11	$6,026.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,368.85 / $2,368.85 / $2,368.85	Facility		$2,368.85	$2,368.85	$2,368.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,012.92 / $2,138.73 / $2,789.49	Professional		$2,012.92	$2,138.73	$2,789.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,715.81 / $2,715.81 / $2,715.81	Professional		$2,715.81	$2,715.81	$2,715.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,400.00 / $3,348.14	Facility		$597.00	$2,400.00	$3,348.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $1,994.73 / $4,988.72	Professional		$1,752.00	$1,994.73	$4,988.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,113.57 / $2,008.88 / $3,062.31	Professional		$1,113.57	$2,008.88	$3,062.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,012.92 / $2,012.92 / $2,091.80	Facility		$2,012.92	$2,012.92	$2,091.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,012.92 / $2,012.92 / $2,368.85	Professional		$2,012.92	$2,012.92	$2,368.85