Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $3,090.30 / $7,762.47	Facility		$389.05	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $389.05 / $870.96	Professional		$234.42	$389.05	$870.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $954.99	Professional		$309.03	$380.19	$954.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $338.84 / $6,165.95	Facility		$338.84	$338.84	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $549.54	Professional		$338.84	$338.84	$549.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $50,118.72	Facility		$407.38	$407.38	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $489.78 / $1,288.25	Professional		$269.15	$489.78	$1,288.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $269.15 / $602.56	Facility		$128.82	$269.15	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $851.14	Professional		$426.58	$602.56	$851.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $489.78 / $794.33	Professional		$309.03	$489.78	$794.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $2,951.21	Facility		$954.99	$954.99	$2,951.21
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $562.34	Professional		$346.74	$436.52	$562.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $50,118.72 / $75,857.76	Facility		$275.42	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $1,023.29	Professional		$398.11	$512.86	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $4,265.80 / $9,549.93	Facility		$2,041.74	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $389.05 / $977.24	Professional		$223.87	$389.05	$977.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $295.12 / $1,071.52	Facility		$199.53	$295.12	$1,071.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $467.74 / $812.83	Professional		$309.03	$467.74	$812.83