Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,467.37 / $9,120.11	Facility		$457.09	$3,467.37	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $478.63 / $1,148.15	Professional		$323.59	$478.63	$1,148.15
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 $346.74 / $446.68 / $1,148.15	Professional		$346.74	$446.68	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $16,595.87	Facility		$467.74	$467.74	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $676.08	Professional		$467.74	$467.74	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $575.44 / $50,118.72	Facility		$34.67	$575.44	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.54 / $57.54 / $57.54	Facility	AS	$57.54	$57.54	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $707.95 / $1,778.28	Professional		$380.19	$707.95	$1,778.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $398.11 / $933.25	Facility		$223.87	$398.11	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $741.31 / $1,071.52	Professional		$562.34	$741.31	$1,071.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $630.96 / $1,000.00	Professional		$380.19	$630.96	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $4,570.88 / $5,011.87	Facility		$2,187.76	$4,570.88	$5,011.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $50,118.72 / $75,857.76	Facility		$363.08	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $630.96 / $1,230.27	Professional		$549.54	$630.96	$1,230.27
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 $338.84 / $512.86 / $1,202.26	Professional		$338.84	$512.86	$1,202.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $398.11 / $891.25	Facility		$275.42	$398.11	$891.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,000.00	Professional		$371.54	$588.84	$1,000.00