Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.55 / $2,549.75 / $4,348.41	Facility		$1,976.55	$2,549.75	$4,348.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,391.63	Professional		$2,016.42	$2,016.42	$2,391.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,613.14 / $1,613.14 / $2,016.42	Facility		$1,613.14	$1,613.14	$2,016.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,886.37 / $2,016.42 / $2,978.62	Professional		$1,886.37	$2,016.42	$2,978.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,787.03 / $1,787.03 / $1,876.38	Facility		$1,787.03	$1,787.03	$1,876.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,787.03 / $1,787.03 / $1,787.03	Professional		$1,787.03	$1,787.03	$1,787.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,842.31 / $1,902.29 / $2,016.42	Facility		$1,842.31	$1,902.29	$2,016.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,016.42	Professional		$2,016.42	$2,016.42	$2,016.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $2,540.81 / $4,280.14	Facility		$319.00	$2,540.81	$4,280.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,159.69 / $2,540.81 / $2,921.93	Professional		$2,159.69	$2,540.81	$2,921.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.55 / $1,691.55 / $2,092.51	Facility		$1,691.55	$1,691.55	$2,092.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,691.55 / $2,016.42 / $2,092.51	Professional		$1,691.55	$2,016.42	$2,092.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,177.83 / $2,177.83 / $2,177.83	Facility		$2,177.83	$2,177.83	$2,177.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,788.65 / $1,902.29 / $2,016.42	Facility		$1,788.65	$1,902.29	$2,016.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,775.29 / $2,016.42 / $2,736.31	Professional		$1,775.29	$2,016.42	$2,736.31
United Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,825.67	Professional		$2,016.42	$2,016.42	$2,825.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $2,092.51 / $2,092.51 / $2,092.51	Facility		$2,092.51	$2,092.51	$2,092.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $2,016.42 / $2,016.42 / $2,092.51	Professional		$2,016.42	$2,016.42	$2,092.51