Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $4,265.80 / $10,000.00	Facility		$616.60	$4,265.80	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $562.34 / $1,584.89	Professional		$398.11	$562.34	$1,584.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $1,148.15	Professional		$331.13	$426.58	$1,148.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $10,964.78	Facility		$616.60	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $758.58 / $50,118.72	Facility		$34.67	$758.58	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $776.25 / $2,089.30	Professional		$446.68	$776.25	$2,089.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $512.86 / $1,202.26	Facility		$288.40	$512.86	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $870.96	Professional		$467.74	$616.60	$870.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $602.56 / $1,096.48	Professional		$389.05	$602.56	$1,096.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,677.35 / $8,511.38	Facility		$1,905.46	$4,677.35	$8,511.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $50,118.72 / $75,857.76	Facility		$478.63	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $1,148.15	Professional		$524.81	$602.56	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,348.96	Professional		$407.38	$575.44	$1,348.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $1,174.90	Facility		$354.81	$524.81	$1,174.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $562.34 / $1,202.26	Professional		$354.81	$562.34	$1,202.26