Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,570.88 / $10,964.78	Facility		$323.59	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $645.65 / $2,344.23	Professional		$162.18	$645.65	$2,344.23
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 $691.83 / $870.96 / $2,454.71	Professional		$691.83	$870.96	$2,454.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,698.24 / $8,912.51	Facility		$257.04	$1,698.24	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $1,230.27	Professional		$257.04	$257.04	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $302.00 / $50,118.72	Facility		$34.67	$302.00	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $831.76 / $3,162.28	Professional		$223.87	$831.76	$3,162.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $263.03 / $575.44	Facility		$177.83	$263.03	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,023.29 / $1,479.11	Professional		$758.58	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,584.89	Professional		$676.08	$954.99	$1,584.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $5,128.61 / $6,165.95	Facility		$4,466.84	$5,128.61	$6,165.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $50,118.72 / $75,857.76	Facility		$234.42	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,258.93 / $1,995.26	Professional		$1,071.52	$1,258.93	$1,995.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $524.81 / $1,778.28	Professional		$125.89	$524.81	$1,778.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $190.55 / $316.23	Facility		$144.54	$190.55	$316.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $812.83 / $1,513.56	Professional		$338.84	$812.83	$1,513.56