Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,573.49 / $1,863.33 / $3,449.13	Facility		$1,573.49	$1,863.33	$3,449.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,573.49 / $1,888.95 / $2,699.47	Professional		$1,573.49	$1,888.95	$2,699.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,281.77 / $4,367.41 / $8,563.54	Facility		$4,281.77	$4,367.41	$8,563.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,635.75 / $2,635.75 / $7,024.27	Professional		$2,635.75	$2,635.75	$7,024.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,317.63 / $3,567.34 / $3,567.34	Facility		$3,317.63	$3,567.34	$3,567.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,567.34 / $3,567.34 / $3,567.34	Professional		$3,567.34	$3,567.34	$3,567.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,448.80 / $2,448.80 / $2,448.80	Facility		$2,448.80	$2,448.80	$2,448.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $1,787.62 / $2,448.80	Professional		$1,787.62	$1,787.62	$2,448.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,281.77 / $9,633.98	Facility		$319.00	$4,281.77	$9,633.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,526.23 / $3,211.33 / $7,707.19	Professional		$2,526.23	$3,211.33	$7,707.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,246.71 / $3,246.71 / $3,246.71	Facility		$3,246.71	$3,246.71	$3,246.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,574.21 / $2,735.11 / $3,567.34	Professional		$2,574.21	$2,735.11	$3,567.34
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,473.09 / $3,473.09 / $3,473.09	Professional		$3,473.09	$3,473.09	$3,473.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,448.80 / $4,281.77	Facility		$597.00	$2,448.80	$4,281.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,787.62 / $2,448.80 / $6,357.19	Professional		$1,787.62	$2,448.80	$6,357.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,424.09 / $2,569.06 / $3,916.24	Professional		$1,424.09	$2,569.06	$3,916.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,574.21 / $2,574.21 / $2,592.42	Facility		$2,574.21	$2,574.21	$2,592.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,574.21 / $2,574.21 / $3,246.71	Professional		$2,574.21	$2,574.21	$3,246.71