Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $1,905.46 / $7,943.28	Facility		$112.20	$1,905.46	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $194.98 / $575.44	Professional		$87.10	$194.98	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $162.18 / $331.13	Professional		$125.89	$162.18	$331.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $4,073.80	Facility		$104.71	$104.71	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $165.96	Professional		$104.71	$104.71	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $123.03 / $50,118.72	Facility		$34.67	$123.03	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $12.30 / $12.30 / $12.30	Facility	AS	$12.30	$12.30	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $151.36 / $302.00	Professional		$79.43	$151.36	$302.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $107.15 / $245.47	Facility		$74.13	$107.15	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $263.03	Professional		$134.90	$162.18	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $131.83 / $204.17	Professional		$89.13	$131.83	$204.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $416.87 / $1,122.02	Facility		$204.17	$416.87	$1,122.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $275.42	Professional		$229.09	$269.15	$275.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $50,118.72 / $75,857.76	Facility		$123.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $181.97 / $398.11	Professional		$138.04	$181.97	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $2,754.23 / $4,897.79	Facility		$1,047.13	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $102.33 / $229.09	Professional		$53.70	$102.33	$229.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $77.62 / $380.19	Facility		$58.88	$77.62	$380.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $316.23	Professional		$87.10	$134.90	$316.23