Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $4,786.30	Facility		$1,513.56	$3,311.31	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,238.72 / $3,630.78	Professional		$1,737.80	$2,238.72	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $4,265.80 / $8,511.38	Facility		$4,265.80	$4,265.80	$8,511.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,570.40 / $6,606.93	Professional		$2,454.71	$2,570.40	$6,606.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $3,467.37 / $3,467.37	Facility		$3,235.94	$3,467.37	$3,467.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $3,467.37 / $3,467.37	Professional		$3,467.37	$3,467.37	$3,467.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $50,118.72	Facility		$2,570.40	$7,244.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $4,168.69	Professional		$1,862.09	$1,862.09	$4,168.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $6,918.31 / $16,218.10	Facility		$4,265.80	$6,918.31	$16,218.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,466.84 / $8,128.31	Professional		$2,630.27	$4,466.84	$8,128.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $3,090.30	Facility		$2,951.21	$2,951.21	$3,090.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,951.21	Professional		$2,511.89	$2,630.27	$2,951.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,388.44 / $3,388.44 / $3,388.44	Professional		$3,388.44	$3,388.44	$3,388.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $6,309.57 / $50,118.72 / $75,857.76	Facility		$6,309.57	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,754.23 / $4,073.80 / $4,073.80	Professional		$2,754.23	$4,073.80	$4,073.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,235.94 / $5,495.41	Facility		$1,698.24	$3,235.94	$5,495.41
United Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $2,238.72 / $3,467.37	Professional		$1,380.38	$2,238.72	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $2,570.40 / $3,090.30	Facility		$2,511.89	$2,570.40	$3,090.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,511.89 / $2,630.27 / $2,951.21	Professional		$2,511.89	$2,630.27	$2,951.21