Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,754.23 / $7,413.10	Facility		$131.83	$2,754.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $338.84 / $1,584.89	Professional		$67.61	$338.84	$1,584.89
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 $338.84 / $436.52 / $1,318.26	Professional		$338.84	$436.52	$1,318.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $8,912.51	Facility		$109.65	$109.65	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $630.96	Professional		$109.65	$109.65	$630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $131.83 / $53,703.18	Facility		$34.67	$131.83	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $489.78 / $1,659.59	Professional		$93.33	$489.78	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $107.15 / $245.47	Facility		$75.86	$107.15	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $724.44	Professional		$380.19	$501.19	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $489.78 / $933.25	Professional		$338.84	$489.78	$933.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $2,344.23	Facility		$1,479.11	$1,819.70	$2,344.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $50,118.72 / $75,857.76	Facility		$95.50	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $660.69 / $1,023.29	Professional		$562.34	$660.69	$1,023.29
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 $54.95 / $257.04 / $933.25	Professional		$54.95	$257.04	$933.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $81.28 / $128.82	Facility		$61.66	$81.28	$128.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $398.11 / $741.31	Professional		$141.25	$398.11	$741.31