Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,368.73 / $1,620.85 / $3,000.27	Facility		$1,368.73	$1,620.85	$3,000.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,368.73 / $1,699.91 / $2,348.17	Professional		$1,368.73	$1,699.91	$2,348.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,724.55 / $3,799.04 / $7,449.10	Facility		$3,724.55	$3,799.04	$7,449.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,148.37 / $2,148.37 / $5,905.95	Professional		$2,148.37	$2,148.37	$5,905.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $2,885.87 / $3,103.09 / $3,103.09	Facility		$2,885.87	$3,103.09	$3,103.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,103.09 / $3,103.09 / $3,103.09	Professional		$3,103.09	$3,103.09	$3,103.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,160.07 / $2,160.07 / $2,160.07	Facility		$2,160.07	$2,160.07	$2,160.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $1,576.85 / $2,160.07	Professional		$1,576.85	$1,576.85	$2,160.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $3,724.55 / $8,380.24	Facility		$319.00	$3,724.55	$8,380.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,923.25 / $2,793.41 / $6,704.19	Professional		$1,923.25	$2,793.41	$6,704.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,868.50 / $1,868.50 / $1,868.50	Facility		$1,868.50	$1,868.50	$1,868.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,868.50 / $2,239.21 / $2,670.87	Professional		$1,868.50	$2,239.21	$2,670.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,021.12 / $3,021.12 / $3,021.12	Professional		$3,021.12	$3,021.12	$3,021.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $2,160.07 / $3,724.55	Facility		$597.00	$2,160.07	$3,724.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,576.85 / $2,160.07 / $5,549.58	Professional		$1,576.85	$2,160.07	$5,549.58
United Facility/Professional Professional Modifier Low / Median / High Price $1,238.76 / $2,234.73 / $3,414.64	Professional		$1,238.76	$2,234.73	$3,414.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,239.21 / $2,239.21 / $2,326.96	Facility		$2,239.21	$2,239.21	$2,326.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,868.50 / $2,239.21 / $2,379.17	Professional		$1,868.50	$2,239.21	$2,379.17