Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.91 / $876.10 / $2,237.77	Facility		$655.91	$876.10	$2,237.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $655.91 / $788.20 / $1,126.41	Professional		$655.91	$788.20	$1,126.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,786.65 / $1,822.38 / $3,573.30	Facility		$1,786.65	$1,822.38	$3,573.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,442.58 / $1,442.58 / $3,101.30	Professional		$1,442.58	$1,442.58	$3,101.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,384.34 / $1,488.54 / $1,488.54	Facility		$1,384.34	$1,488.54	$1,488.54
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,488.54 / $1,488.54 / $1,488.54	Professional		$1,488.54	$1,488.54	$1,488.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,022.07 / $1,022.07 / $1,022.07	Facility		$1,022.07	$1,022.07	$1,022.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $868.76 / $1,022.07	Professional		$868.76	$868.76	$1,022.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $1,786.65 / $4,019.96	Facility		$319.00	$1,786.65	$4,019.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,054.11 / $1,339.99 / $3,255.28	Professional		$1,054.11	$1,339.99	$3,255.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,126.71 / $1,197.14 / $1,488.54	Professional		$1,126.71	$1,197.14	$1,488.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $180.00 / $180.00	Facility		$180.00	$180.00	$180.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,022.07 / $1,786.65	Facility		$597.00	$1,022.07	$1,786.65
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $868.76 / $1,022.07 / $2,652.66	Professional		$868.76	$1,022.07	$2,652.66
United Facility/Professional Professional Modifier Low / Median / High Price $594.23 / $1,060.19 / $1,539.97	Professional		$594.23	$1,060.19	$1,539.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,126.71 / $1,126.71 / $1,126.71	Facility		$1,126.71	$1,126.71	$1,126.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $1,126.71 / $1,126.71 / $1,197.14	Professional		$1,126.71	$1,126.71	$1,197.14