Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,981.07 / $12,022.64	Facility		$660.69	$3,981.07	$12,022.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $512.86 / $1,318.26	Professional		$426.58	$512.86	$1,318.26
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 $380.19 / $478.63 / $1,174.90	Professional		$380.19	$478.63	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,348.96 / $4,786.30	Facility		$676.08	$1,348.96	$4,786.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $812.83 / $50,118.72	Facility		$34.67	$812.83	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $2,187.76	Professional		$467.74	$707.95	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $602.56 / $1,778.28	Facility		$489.78	$602.56	$1,778.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $724.44 / $1,071.52	Professional		$537.03	$724.44	$1,071.52
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,023.29	Professional		$398.11	$616.60	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $1,148.15 / $1,148.15	Professional		$1,148.15	$1,148.15	$1,148.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,380.38	Professional		$524.81	$691.83	$1,380.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $3,467.37 / $6,606.93	Facility		$1,621.81	$3,467.37	$6,606.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $575.44 / $1,412.54	Professional		$407.38	$575.44	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $575.44 / $954.99	Facility		$389.05	$575.44	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $575.44 / $1,122.02	Professional		$389.05	$575.44	$1,122.02