Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $4,677.35 / $10,964.78	Facility		$891.25	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $741.31 / $1,778.28	Professional		$588.84	$741.31	$1,778.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,888.44 / $12,302.69	Facility		$3,388.44	$5,888.44	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $676.08 / $1,621.81	Professional		$524.81	$676.08	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,398.83 / $10,964.78	Facility		$912.01	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $50,118.72	Facility		$1,096.48	$1,096.48	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $977.24 / $2,951.21	Professional		$645.65	$977.24	$2,951.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,023.29 / $2,398.83	Facility		$724.44	$1,023.29	$2,398.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,412.54	Professional		$707.95	$977.24	$1,412.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Facility		$616.60	$616.60	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $1,380.38	Professional		$537.03	$851.14	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $912.01	Professional		$912.01	$912.01	$912.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $50,118.72 / $75,857.76	Facility		$660.69	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $851.14 / $1,778.28	Professional		$398.11	$851.14	$1,778.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,128.61 / $11,481.54	Facility		$2,344.23	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $2,041.74	Professional		$562.34	$794.33	$2,041.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $776.25 / $2,951.21	Facility		$524.81	$776.25	$2,951.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $794.33 / $1,905.46	Professional		$524.81	$794.33	$1,905.46