Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,025.97 / $1,214.96 / $2,248.94	Facility		$1,025.97	$1,214.96	$2,248.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,025.97 / $1,239.83 / $1,760.15	Professional		$1,025.97	$1,239.83	$1,760.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,791.85 / $2,847.69 / $5,583.70	Facility		$2,791.85	$2,847.69	$5,583.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,526.81 / $1,526.81 / $4,303.14	Professional		$1,526.81	$1,526.81	$4,303.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,163.19 / $2,326.02 / $2,326.02	Facility		$2,163.19	$2,326.02	$2,326.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $2,326.02 / $2,326.02 / $2,326.02	Professional		$2,326.02	$2,326.02	$2,326.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,119.51 / $2,119.51 / $2,119.51	Facility		$2,119.51	$2,119.51	$2,119.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,547.24 / $2,119.51	Professional		$1,547.24	$1,547.24	$2,119.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,791.85 / $6,281.66	Facility		$319.00	$2,791.85	$6,281.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,614.54 / $2,093.89 / $5,025.33	Professional		$1,614.54	$2,093.89	$5,025.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,018.17 / $2,018.17 / $2,018.17	Facility		$2,018.17	$2,018.17	$2,018.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,678.48 / $1,783.38 / $2,326.02	Professional		$1,678.48	$1,783.38	$2,326.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,264.57 / $2,264.57 / $2,264.57	Professional		$2,264.57	$2,264.57	$2,264.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,119.51 / $2,791.85	Facility		$597.00	$2,119.51	$2,791.85
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,547.24 / $1,725.50 / $4,159.85	Professional		$1,547.24	$1,725.50	$4,159.85
United Facility/Professional Professional Modifier Low / Median / High Price $928.55 / $1,585.63 / $2,406.37	Professional		$928.55	$1,585.63	$2,406.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,492.36 / $1,678.48 / $1,678.48	Facility		$1,492.36	$1,678.48	$1,678.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,678.48 / $1,678.48 / $2,018.17	Professional		$1,678.48	$1,678.48	$2,018.17