Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $3,467.37 / $7,943.28	Facility		$371.54	$3,467.37	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $891.25	Professional		$239.88	$338.84	$891.25
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 $263.03 / $338.84 / $776.25	Professional		$263.03	$338.84	$776.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,698.24 / $6,165.95	Facility		$380.19	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $478.63	Professional		$380.19	$380.19	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,659.59 / $50,118.72	Facility		$457.09	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $398.11 / $870.96	Professional		$213.80	$398.11	$870.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $302.00 / $851.14	Facility		$208.93	$302.00	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $776.25	Professional		$398.11	$478.63	$776.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $354.81 / $602.56	Professional		$257.04	$354.81	$602.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $3,715.35 / $7,244.36	Facility		$1,995.26	$3,715.35	$7,244.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $630.96	Professional		$295.12	$398.11	$630.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $50,118.72 / $75,857.76	Facility		$263.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $512.86	Professional		$398.11	$398.11	$512.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $316.23 / $676.08	Professional		$177.83	$316.23	$676.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $288.40 / $870.96	Facility		$208.93	$288.40	$870.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $851.14	Professional		$257.04	$389.05	$851.14