Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $3,467.37 / $9,332.54	Facility		$295.12	$3,467.37	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $354.81 / $1,000.00	Professional		$213.80	$354.81	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $323.59 / $707.95	Professional		$257.04	$323.59	$707.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $1,698.24 / $6,165.95	Facility		$346.74	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $457.09	Professional		$346.74	$346.74	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,659.59 / $50,118.72	Facility		$416.87	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $363.08 / $812.83	Professional		$186.21	$363.08	$812.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $269.15 / $630.96	Facility		$158.49	$269.15	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $467.74 / $776.25	Professional		$398.11	$467.74	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $338.84 / $588.84	Professional		$223.87	$338.84	$588.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,630.27 / $6,760.83	Facility		$1,148.15	$2,630.27	$6,760.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $371.54	Professional		$371.54	$371.54	$371.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $50,118.72 / $75,857.76	Facility		$223.87	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $398.11 / $489.78	Professional		$371.54	$398.11	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,890.45 / $8,317.64	Facility		$1,819.70	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $616.60	Professional		$158.49	$295.12	$616.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $269.15 / $645.65	Facility		$181.97	$269.15	$645.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $758.58	Professional		$223.87	$371.54	$758.58