Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,786.30 / $12,022.64	Facility		$1,905.46	$4,786.30	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $363.08 / $758.58	Professional		$117.49	$363.08	$758.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $138.04 / $245.47	Professional		$112.20	$138.04	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $416.87 / $53,703.18	Facility		$416.87	$416.87	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $1,096.48 / $1,096.48	Professional		$239.88	$1,096.48	$1,096.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $398.11 / $912.01	Facility		$239.88	$398.11	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $275.42 / $457.09	Professional		$165.96	$275.42	$457.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $562.34	Professional		$213.80	$316.23	$562.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19,054.61 / $19,054.61 / $19,054.61	Facility		$19,054.61	$19,054.61	$19,054.61
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
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $15,135.61	Facility		$2,398.83	$5,888.44	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $295.12 / $691.83	Professional		$194.98	$295.12	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $213.80 / $213.80	Facility		$181.97	$213.80	$213.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $512.86	Professional		$204.17	$213.80	$512.86