Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,884.03 / $7,762.47	Facility		$630.96	$2,884.03	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $575.44 / $1,445.44	Professional		$446.68	$575.44	$1,445.44
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 $436.52 / $537.03 / $1,288.25	Professional		$436.52	$537.03	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,258.93 / $4,073.80	Facility		$676.08	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $741.31	Professional		$676.08	$676.08	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $50,118.72	Facility		$831.76	$831.76	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $575.44 / $575.44 / $575.44	Facility	54	$575.44	$575.44	$575.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $2,041.74	Professional		$501.19	$741.31	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $562.34 / $1,412.54	Facility		$346.74	$562.34	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $912.01 / $1,318.26	Professional		$660.69	$912.01	$1,318.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $389.05 / $389.05 / $389.05	Facility	54	$389.05	$389.05	$389.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $691.83 / $1,122.02	Professional		$426.58	$691.83	$1,122.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,445.44	Professional		$398.11	$707.95	$1,445.44
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 $426.58 / $630.96 / $1,548.82	Professional		$426.58	$630.96	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $2,089.30	Facility		$398.11	$588.84	$2,089.30
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $316.23 / $338.84 / $457.09	Facility	54	$316.23	$338.84	$457.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $676.08 / $1,445.44	Professional		$436.52	$676.08	$1,445.44