Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $2,951.21 / $7,413.10	Facility		$346.74	$2,951.21	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $707.95	Professional		$239.88	$309.03	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $295.12 / $691.83	Professional		$234.42	$295.12	$691.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $4,073.80	Facility		$363.08	$363.08	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $407.38	Professional		$363.08	$363.08	$407.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $446.68 / $50,118.72	Facility		$34.67	$446.68	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $316.23 / $316.23	Facility	54	$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $398.11 / $1,071.52	Professional		$263.03	$398.11	$1,071.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $338.84 / $851.14	Facility		$208.93	$338.84	$851.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $524.81 / $758.58	Professional		$380.19	$524.81	$758.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $281.84 / $281.84	Facility		$281.84	$281.84	$281.84
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $218.78 / $218.78 / $218.78	Facility	54	$218.78	$218.78	$218.78
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $630.96	Professional		$223.87	$389.05	$630.96
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $323.59 / $389.05	Professional		$323.59	$323.59	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $50,118.72 / $75,857.76	Facility		$229.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $660.69	Professional		$331.13	$398.11	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $331.13 / $812.83	Professional		$223.87	$331.13	$812.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $323.59 / $954.99	Facility		$218.78	$323.59	$954.99
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $173.78 / $177.83 / $251.19	Facility	54	$173.78	$177.83	$251.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $741.31	Professional		$239.88	$354.81	$741.31