Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $865.01 / $1,024.34 / $1,896.12	Facility		$865.01	$1,024.34	$1,896.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $865.01 / $1,038.42 / $1,484.01	Professional		$865.01	$1,038.42	$1,484.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,353.86 / $2,400.94 / $4,707.72	Facility		$2,353.86	$2,400.94	$4,707.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,448.96 / $1,448.96 / $3,861.47	Professional		$1,448.96	$1,448.96	$3,861.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,823.82 / $1,961.10 / $1,961.10	Facility		$1,823.82	$1,961.10	$1,961.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,961.10 / $1,961.10 / $1,961.10	Professional		$1,961.10	$1,961.10	$1,961.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,346.19 / $1,346.19 / $1,346.19	Facility		$1,346.19	$1,346.19	$1,346.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $982.72 / $1,346.19	Professional		$982.72	$982.72	$1,346.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,353.86 / $5,296.19	Facility		$319.00	$2,353.86	$5,296.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,388.78 / $1,765.40 / $4,236.95	Professional		$1,388.78	$1,765.40	$4,236.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,772.55 / $1,772.55 / $1,772.55	Facility		$1,772.55	$1,772.55	$1,772.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,415.15 / $1,503.60 / $1,961.10	Professional		$1,415.15	$1,503.60	$1,961.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,909.29 / $1,909.29 / $1,909.29	Professional		$1,909.29	$1,909.29	$1,909.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,346.19 / $2,353.86	Facility		$597.00	$1,346.19	$2,353.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $982.72 / $1,346.19 / $3,495.00	Professional		$982.72	$1,346.19	$3,495.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.88 / $1,412.32 / $2,152.91	Professional		$782.88	$1,412.32	$2,152.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,415.15 / $1,415.15 / $1,572.78	Facility		$1,415.15	$1,415.15	$1,572.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,415.15 / $1,415.15 / $1,772.55	Professional		$1,415.15	$1,415.15	$1,772.55