Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,586.36 / $1,878.57 / $3,477.32	Facility		$1,586.36	$1,878.57	$3,477.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,586.36 / $1,904.39 / $2,721.54	Professional		$1,586.36	$1,904.39	$2,721.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,316.77 / $4,403.10 / $8,633.54	Facility		$4,316.77	$4,403.10	$8,633.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,699.26 / $2,699.26 / $7,187.41	Professional		$2,699.26	$2,699.26	$7,187.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3,344.75 / $3,596.50 / $3,596.50	Facility		$3,344.75	$3,596.50	$3,596.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3,596.50 / $3,596.50 / $3,596.50	Professional		$3,596.50	$3,596.50	$3,596.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,060.59 / $3,060.59 / $3,060.59	Facility		$3,060.59	$3,060.59	$3,060.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,234.23 / $3,060.59	Professional		$2,234.23	$2,234.23	$3,060.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $4,316.77 / $9,712.73	Facility		$319.00	$4,316.77	$9,712.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,546.89 / $3,237.58 / $7,770.19	Professional		$2,546.89	$3,237.58	$7,770.19
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.44 / $182.44 / $182.44	Facility		$182.44	$182.44	$182.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $3,318.62 / $3,318.62	Professional		$182.44	$3,318.62	$3,318.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,501.48 / $3,501.48 / $3,501.48	Professional		$3,501.48	$3,501.48	$3,501.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $3,060.59 / $4,316.77	Facility		$597.00	$3,060.59	$4,316.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,234.23 / $2,645.94 / $6,690.99	Professional		$2,234.23	$2,645.94	$6,690.99
United Facility/Professional Professional Modifier Low / Median / High Price $1,435.73 / $2,628.14 / $3,628.87	Professional		$1,435.73	$2,628.14	$3,628.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,884.34 / $3,318.62 / $3,318.62	Facility		$2,884.34	$3,318.62	$3,318.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $182.44 / $3,318.62 / $3,318.62	Professional		$182.44	$3,318.62	$3,318.62