Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $5,011.87 / $10,232.93	Facility		$478.63	$5,011.87	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $478.63 / $1,479.11	Professional		$316.23	$478.63	$1,479.11
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 $275.42 / $346.74 / $912.01	Professional		$275.42	$346.74	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $1,995.26 / $8,912.51	Facility		$489.78	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $50,118.72	Facility		$588.84	$588.84	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $537.03 / $1,621.81	Professional		$346.74	$537.03	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $416.87 / $1,230.27	Facility		$302.00	$416.87	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $549.54 / $776.25	Professional		$389.05	$549.54	$776.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $741.31 / $1,023.29	Professional		$316.23	$741.31	$1,023.29
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,677.35	Facility		$1,778.28	$2,818.38	$4,677.35
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $467.74 / $616.60	Professional		$354.81	$467.74	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $954.99	Professional		$398.11	$457.09	$954.99
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 $302.00 / $426.58 / $1,047.13	Professional		$302.00	$426.58	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $426.58 / $1,862.09	Facility		$288.40	$426.58	$1,862.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $630.96 / $1,148.15	Professional		$316.23	$630.96	$1,148.15