Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $3,162.28 / $9,120.11	Facility		$416.87	$3,162.28	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $363.08 / $851.14	Professional		$251.19	$363.08	$851.14
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 $323.59 / $407.38 / $912.01	Professional		$323.59	$407.38	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $1,698.24 / $6,165.95	Facility		$407.38	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $407.38 / $575.44	Professional		$407.38	$407.38	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,659.59 / $50,118.72	Facility		$489.78	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $457.09 / $1,000.00	Professional		$263.03	$457.09	$1,000.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $363.08 / $977.24	Facility		$302.00	$363.08	$977.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $588.84 / $954.99	Professional		$501.19	$588.84	$954.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $741.31	Professional		$316.23	$436.52	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,584.89 / $8,511.38	Facility		$1,380.38	$1,584.89	$8,511.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $50,118.72 / $75,857.76	Facility		$295.12	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $478.63 / $616.60	Professional		$398.11	$478.63	$616.60
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 $199.53 / $363.08 / $776.25	Professional		$199.53	$363.08	$776.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $309.03 / $977.24	Facility		$229.09	$309.03	$977.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $954.99	Professional		$316.23	$467.74	$954.99