Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $2,754.23 / $7,762.47	Facility		$676.08	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $630.96 / $1,412.54	Professional		$512.86	$630.96	$1,412.54
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 $467.74 / $588.84 / $1,445.44	Professional		$467.74	$588.84	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $4,073.80	Facility		$776.25	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $812.83	Professional		$776.25	$776.25	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $50,118.72	Facility		$933.25	$933.25	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $2,238.72	Professional		$562.34	$831.76	$2,238.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $831.76 / $2,089.30	Facility		$575.44	$831.76	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,023.29 / $1,479.11	Professional		$741.31	$1,023.29	$1,479.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $776.25 / $1,258.93	Professional		$457.09	$776.25	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,621.81	Professional		$398.11	$758.58	$1,621.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $691.83 / $1,698.24	Professional		$478.63	$691.83	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $660.69 / $2,344.23	Facility		$457.09	$660.69	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $707.95 / $1,513.56	Professional		$467.74	$707.95	$1,513.56