Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,951.21 / $7,762.47	Facility		$741.31	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $575.44 / $1,778.28	Professional		$457.09	$575.44	$1,778.28
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 $489.78 / $645.65 / $1,412.54	Professional		$489.78	$645.65	$1,412.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $4,073.80	Facility		$724.44	$724.44	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $891.25	Professional		$724.44	$724.44	$891.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $891.25 / $50,118.72	Facility		$34.67	$891.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,621.81	Professional		$398.11	$794.33	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $794.33 / $1,737.80	Facility		$524.81	$794.33	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $870.96 / $1,445.44	Professional		$741.31	$870.96	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $1,174.90	Professional		$524.81	$724.44	$1,174.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $50,118.72 / $75,857.76	Facility		$831.76	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $933.25	Professional		$398.11	$758.58	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $630.96 / $1,318.26	Professional		$338.84	$630.96	$1,318.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $562.34 / $2,951.21	Facility		$380.19	$562.34	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $741.31 / $2,454.71	Professional		$524.81	$741.31	$2,454.71