Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12,022.64 / $22,908.68 / $32,359.37	Facility		$12,022.64	$22,908.68	$32,359.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12,302.69 / $15,848.93 / $23,988.33	Professional		$12,302.69	$15,848.93	$23,988.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $28,840.32 / $57,543.99	Facility		$28,840.32	$28,840.32	$57,543.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,387.21 / $22,387.21 / $52,480.75	Professional		$22,387.21	$22,387.21	$52,480.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21,877.62 / $23,442.29 / $23,442.29	Facility		$21,877.62	$23,442.29	$23,442.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23,442.29 / $23,442.29 / $23,442.29	Professional		$23,442.29	$23,442.29	$23,442.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,595.87 / $45,708.82 / $50,118.72	Facility		$16,595.87	$45,708.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12,022.64 / $12,022.64 / $28,183.83	Professional		$12,022.64	$12,022.64	$28,183.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28,840.32 / $47,863.01 / $109,647.82	Facility		$28,840.32	$47,863.01	$109,647.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $31,622.78 / $54,954.09	Professional		$17,782.79	$31,622.78	$54,954.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18,197.01 / $19,498.45 / $20,417.38	Professional		$18,197.01	$19,498.45	$20,417.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22,908.68 / $22,908.68 / $22,908.68	Professional		$22,908.68	$22,908.68	$22,908.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18,620.87 / $27,542.29 / $27,542.29	Professional		$18,620.87	$27,542.29	$27,542.29
United Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $20,417.38 / $34,673.69	Facility		$489.78	$20,417.38	$34,673.69
United Facility/Professional Professional Modifier Low / Median / High Price $9,332.54 / $16,218.10 / $23,442.29	Professional		$9,332.54	$16,218.10	$23,442.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $19,054.61 / $19,054.61	Facility		$501.19	$19,054.61	$19,054.61
Univera Facility/Professional Professional Modifier Low / Median / High Price $17,782.79 / $19,054.61 / $19,498.45	Professional		$17,782.79	$19,054.61	$19,498.45