Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $2,884.03 / $7,762.47	Facility		$138.04	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $323.59 / $1,348.96	Professional		$72.44	$323.59	$1,348.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,318.26	Professional		$346.74	$436.52	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $8,912.51	Facility		$117.49	$117.49	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $645.65	Professional		$117.49	$117.49	$645.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $138.04 / $53,703.18	Facility		$34.67	$138.04	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $512.86 / $1,698.24	Professional		$100.00	$512.86	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $112.20 / $263.03	Facility		$81.28	$112.20	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $512.86 / $741.31	Professional		$389.05	$512.86	$741.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $501.19 / $933.25	Professional		$338.84	$501.19	$933.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $2,454.71 / $2,454.71	Facility		$2,454.71	$2,454.71	$2,454.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $50,118.72 / $75,857.76	Facility		$102.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $676.08 / $1,047.13	Professional		$575.44	$676.08	$1,047.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $269.15 / $954.99	Professional		$58.88	$269.15	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $87.10 / $138.04	Facility		$66.07	$87.10	$138.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $407.38 / $758.58	Professional		$147.91	$407.38	$758.58