Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,162.28 / $8,709.64	Facility		$660.69	$3,162.28	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $660.69 / $1,584.89	Professional		$446.68	$660.69	$1,584.89
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 $512.86 / $645.65 / $1,621.81	Professional		$512.86	$645.65	$1,621.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,995.26 / $8,912.51	Facility		$691.83	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $933.25	Professional		$691.83	$691.83	$933.25
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 Professional Modifier Low / Median / High Price $478.63 / $831.76 / $2,187.76	Professional		$478.63	$831.76	$2,187.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $537.03 / $1,202.26	Facility		$251.19	$537.03	$1,202.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,513.56	Professional		$758.58	$1,071.52	$1,513.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Facility		$602.56	$602.56	$602.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $851.14 / $1,380.38	Professional		$512.86	$851.14	$1,380.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $2,570.40 / $3,467.37	Facility		$2,570.40	$2,570.40	$3,467.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $50,118.72 / $75,857.76	Facility		$467.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $870.96 / $1,737.80	Professional		$398.11	$870.96	$1,737.80
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 / $676.08 / $1,698.24	Professional		$407.38	$676.08	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $588.84 / $1,412.54	Facility		$398.11	$588.84	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $812.83 / $1,548.82	Professional		$537.03	$812.83	$1,548.82