Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $3,090.30 / $7,762.47	Facility		$218.78	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $588.84	Professional		$147.91	$223.87	$588.84
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 $186.21 / $234.42 / $524.81	Professional		$186.21	$234.42	$524.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $1,698.24 / $6,165.95	Facility		$245.47	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $331.13	Professional		$245.47	$245.47	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,659.59 / $50,118.72	Facility		$309.03	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $275.42 / $602.56	Professional		$147.91	$275.42	$602.56
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $204.17 / $575.44	Facility		$141.25	$204.17	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $346.74 / $562.34	Professional		$288.40	$346.74	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $436.52	Professional		$181.97	$257.04	$436.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $2,137.96 / $5,248.07	Facility		$50.12	$2,137.96	$5,248.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $562.34	Professional		$275.42	$275.42	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $50,118.72 / $75,857.76	Facility		$177.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $354.81 / $398.11	Professional		$275.42	$354.81	$398.11
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 $117.49 / $213.80 / $457.09	Professional		$117.49	$213.80	$457.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $194.98 / $588.84	Facility		$138.04	$194.98	$588.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $275.42 / $588.84	Professional		$181.97	$275.42	$588.84