Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,090.30 / $9,772.37	Facility		$588.84	$3,090.30	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,148.15	Professional		$398.11	$501.19	$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 $407.38 / $501.19 / $1,174.90	Professional		$407.38	$501.19	$1,174.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,698.24 / $6,165.95	Facility		$602.56	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $676.08	Professional		$602.56	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $50,118.72	Facility		$741.31	$741.31	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $512.86 / $512.86 / $512.86	Facility	54	$512.86	$512.86	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,819.70	Professional		$446.68	$660.69	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $588.84 / $1,737.80	Facility		$478.63	$588.84	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,230.27	Professional		$616.60	$851.14	$1,230.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $354.81 / $354.81 / $354.81	Facility	54	$354.81	$354.81	$354.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $630.96 / $1,023.29	Professional		$389.05	$630.96	$1,023.29
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,318.26	Professional		$398.11	$630.96	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $562.34 / $1,380.38	Professional		$389.05	$562.34	$1,380.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $524.81 / $1,905.46	Facility		$354.81	$524.81	$1,905.46
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $281.84 / $302.00 / $416.87	Facility	54	$281.84	$302.00	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $588.84 / $1,288.25	Professional		$389.05	$588.84	$1,288.25