Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $4,677.35 / $10,964.78	Facility		$1,479.11	$4,677.35	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,230.27 / $3,630.78	Professional		$954.99	$1,230.27	$3,630.78
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 $870.96 / $1,122.02 / $2,691.53	Professional		$870.96	$1,122.02	$2,691.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $37,153.52	Facility		$1,513.56	$1,513.56	$37,153.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,819.70 / $50,118.72	Facility		$34.67	$1,819.70	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,621.81 / $5,128.61	Professional		$1,071.52	$1,621.81	$5,128.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,819.70 / $5,370.32	Facility		$1,479.11	$1,819.70	$5,370.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,187.76 / $3,162.28	Professional		$1,584.89	$2,187.76	$3,162.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,412.54 / $2,238.72	Professional		$912.01	$1,412.54	$2,238.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,412.54 / $2,344.23	Professional		$398.11	$1,412.54	$2,344.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $18,620.87	Facility		$2,454.71	$6,456.54	$18,620.87
United Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,412.54 / $3,388.44	Professional		$954.99	$1,412.54	$3,388.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $1,288.25 / $4,786.30	Facility		$870.96	$1,288.25	$4,786.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,318.26 / $2,951.21	Professional		$870.96	$1,318.26	$2,951.21