Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,951.21 / $7,943.28	Facility		$602.56	$2,951.21	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $575.44 / $1,318.26	Professional		$309.03	$575.44	$1,318.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $660.69 / $1,548.82	Professional		$524.81	$660.69	$1,548.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $1,698.24 / $6,165.95	Facility		$588.84	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $954.99	Professional		$588.84	$588.84	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,659.59 / $50,118.72	Facility		$707.95	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $724.44 / $1,513.56	Professional		$363.08	$724.44	$1,513.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $446.68 / $1,122.02	Facility		$269.15	$446.68	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $954.99 / $1,584.89	Professional		$812.83	$954.99	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $691.83 / $1,202.26	Professional		$537.03	$691.83	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,819.70 / $9,332.54	Facility		$1,513.56	$1,819.70	$9,332.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,023.29	Professional		$398.11	$794.33	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,606.93	Facility		$1,621.81	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $562.34 / $1,230.27	Professional		$295.12	$562.34	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $436.52 / $1,621.81	Facility		$331.13	$436.52	$1,621.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $741.31 / $1,513.56	Professional		$512.86	$741.31	$1,513.56