Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,090.30 / $7,762.47	Facility		$457.09	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $416.87 / $912.01	Professional		$323.59	$416.87	$912.01
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 $288.40 / $363.08 / $912.01	Professional		$288.40	$363.08	$912.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,698.24 / $6,165.95	Facility		$478.63	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $537.03	Professional		$478.63	$478.63	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $575.44 / $50,118.72	Facility		$575.44	$575.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $524.81 / $1,445.44	Professional		$354.81	$524.81	$1,445.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $416.87 / $1,122.02	Facility		$275.42	$416.87	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $676.08 / $977.24	Professional		$489.78	$676.08	$977.24
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $812.83	Professional		$309.03	$512.86	$812.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Facility		$2,089.30	$2,089.30	$2,089.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $50,118.72 / $75,857.76	Facility		$331.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $501.19 / $1,047.13	Professional		$398.11	$501.19	$1,047.13
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 $302.00 / $446.68 / $1,096.48	Professional		$302.00	$446.68	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $416.87 / $1,380.38	Facility		$281.84	$416.87	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $954.99	Professional		$309.03	$467.74	$954.99