Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,890.45 / $10,471.29	Facility		$602.56	$3,890.45	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $676.08 / $1,949.84	Professional		$426.58	$676.08	$1,949.84
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 $478.63 / $602.56 / $1,513.56	Professional		$478.63	$602.56	$1,513.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $1,995.26 / $8,912.51	Facility		$616.60	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $851.14	Professional		$616.60	$616.60	$851.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $758.58 / $50,118.72	Facility		$758.58	$758.58	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	AS	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $2,041.74	Professional		$457.09	$794.33	$2,041.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $489.78 / $1,230.27	Facility		$302.00	$489.78	$1,230.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $954.99 / $1,348.96	Professional		$691.83	$954.99	$1,348.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $776.25 / $1,258.93	Professional		$524.81	$776.25	$1,258.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $3,311.31 / $6,456.54	Facility		$2,137.96	$3,311.31	$6,456.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $512.86 / $676.08	Professional		$489.78	$512.86	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,584.89	Professional		$398.11	$794.33	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,365.16 / $9,549.93	Facility		$2,041.74	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $645.65 / $1,548.82	Professional		$407.38	$645.65	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $537.03 / $2,398.83	Facility		$363.08	$537.03	$2,398.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $741.31 / $1,584.89	Professional		$501.19	$741.31	$1,584.89