Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,732.50 / $2,051.64 / $3,797.68	Facility		$1,732.50	$2,051.64	$3,797.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,732.50 / $2,079.85 / $2,972.28	Professional		$1,732.50	$2,079.85	$2,972.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,714.47 / $4,808.77 / $9,428.95	Facility		$4,714.47	$4,808.77	$9,428.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,902.12 / $2,902.12 / $7,734.14	Professional		$2,902.12	$2,902.12	$7,734.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,652.89 / $3,927.84 / $3,927.84	Facility		$3,652.89	$3,927.84	$3,927.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,927.84 / $3,927.84 / $3,927.84	Professional		$3,927.84	$3,927.84	$3,927.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,107.31 / $2,886.72	Professional		$2,107.31	$2,107.31	$2,886.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,714.47 / $10,607.58	Facility		$319.00	$4,714.47	$10,607.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,781.54 / $3,535.86 / $8,486.06	Professional		$2,781.54	$3,535.86	$8,486.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,726.78 / $3,726.78 / $3,726.78	Facility		$3,726.78	$3,726.78	$3,726.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,834.36 / $3,011.51 / $3,927.84	Professional		$2,834.36	$3,011.51	$3,927.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,824.06 / $3,824.06 / $3,824.06	Professional		$3,824.06	$3,824.06	$3,824.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,886.72 / $4,714.47	Facility		$597.00	$2,886.72	$4,714.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $6,999.84	Professional		$2,107.31	$2,886.72	$6,999.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,753.36 / $5,753.36 / $5,753.36	Facility		$5,753.36	$5,753.36	$5,753.36
United Facility/Professional Professional Modifier Low / Median / High Price $1,568.00 / $2,828.69 / $4,243.03	Professional		$1,568.00	$2,828.69	$4,243.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,834.36 / $2,834.36 / $3,150.08	Facility		$2,834.36	$2,834.36	$3,150.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,834.36 / $2,834.36 / $3,726.78	Professional		$2,834.36	$2,834.36	$3,726.78