Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,630.27 / $7,943.28	Facility		$389.05	$2,630.27	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $363.08 / $851.14	Professional		$275.42	$363.08	$851.14
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 $288.40 / $354.81 / $812.83	Professional		$288.40	$354.81	$812.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $1,698.24 / $6,165.95	Facility		$416.87	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $467.74	Professional		$416.87	$416.87	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $50,118.72	Facility		$512.86	$512.86	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $363.08 / $363.08 / $363.08	Facility	54	$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $1,258.93	Professional		$309.03	$467.74	$1,258.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $389.05 / $1,047.13	Facility		$257.04	$389.05	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $870.96	Professional		$436.52	$602.56	$870.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $251.19 / $251.19 / $251.19	Facility	54	$251.19	$251.19	$251.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $446.68 / $724.44	Professional		$263.03	$446.68	$724.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $346.74 / $512.86	Facility		$323.59	$346.74	$512.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $389.05 / $870.96	Professional		$380.19	$389.05	$870.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $50,118.72 / $75,857.76	Facility		$288.40	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $436.52 / $707.95	Professional		$389.05	$436.52	$707.95
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 $263.03 / $389.05 / $954.99	Professional		$263.03	$389.05	$954.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $371.54 / $1,096.48	Facility		$251.19	$371.54	$1,096.48
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $199.53 / $208.93 / $288.40	Facility	54	$199.53	$208.93	$288.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $407.38 / $812.83	Professional		$275.42	$407.38	$812.83