Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.10 / $919.06 / $1,701.22	Facility		$776.10	$919.06	$1,701.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.10 / $931.70 / $1,331.47	Professional		$776.10	$931.70	$1,331.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,111.91 / $2,154.15 / $4,223.82	Facility		$2,111.91	$2,154.15	$4,223.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,300.05 / $1,300.05 / $3,464.63	Professional		$1,300.05	$1,300.05	$3,464.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,636.35 / $1,759.52 / $1,759.52	Facility		$1,636.35	$1,759.52	$1,759.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,759.52 / $1,759.52 / $1,759.52	Professional		$1,759.52	$1,759.52	$1,759.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $881.72 / $1,207.83	Professional		$881.72	$881.72	$1,207.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,111.91 / $4,751.80	Facility		$319.00	$2,111.91	$4,751.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,090.52 / $1,562.81 / $3,801.44	Professional		$1,090.52	$1,562.81	$3,801.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.96 / $1,345.96 / $1,345.96	Facility		$1,345.96	$1,345.96	$1,345.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,269.68 / $1,345.96 / $1,615.15	Professional		$1,269.68	$1,345.96	$1,615.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,713.04 / $1,713.04 / $1,713.04	Professional		$1,713.04	$1,713.04	$1,713.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,207.83 / $2,111.91	Facility		$597.00	$1,207.83	$2,111.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $881.72 / $1,207.83 / $3,135.47	Professional		$881.72	$1,207.83	$3,135.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $702.40 / $1,267.15 / $1,900.72	Professional		$702.40	$1,267.15	$1,900.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,269.68 / $1,269.68 / $1,319.44	Facility		$1,269.68	$1,269.68	$1,319.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,269.68 / $1,269.68 / $1,349.04	Professional		$1,269.68	$1,269.68	$1,349.04