Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $4,677.35 / $11,748.98	Facility		$831.76	$4,677.35	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $870.96 / $2,951.21	Professional		$562.34	$870.96	$2,951.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $11,481.54 / $18,620.87	Facility		$4,786.30	$11,481.54	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $812.83 / $2,041.74	Professional		$645.65	$812.83	$2,041.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,398.83 / $10,964.78	Facility		$812.83	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,122.02	Professional		$812.83	$812.83	$1,122.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $50,118.72	Facility		$977.24	$977.24	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.72 / $97.72 / $97.72	Facility	AS	$97.72	$97.72	$97.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $1,047.13 / $2,818.38	Professional		$616.60	$1,047.13	$2,818.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,621.81	Facility		$398.11	$645.65	$1,621.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,659.59 / $2,344.23	Professional		$1,202.26	$1,659.59	$2,344.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $724.44	Facility		$724.44	$724.44	$724.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $977.24 / $1,659.59	Professional		$707.95	$977.24	$1,659.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $9,332.54 / $21,379.62	Facility		$3,630.78	$9,332.54	$21,379.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $831.76 / $1,071.52	Professional		$660.69	$831.76	$1,071.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,047.13 / $2,089.30	Professional		$398.11	$1,047.13	$2,089.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,982.44	Facility		$2,454.71	$6,456.54	$16,982.44
United Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $851.14 / $2,137.96	Professional		$537.03	$851.14	$2,137.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $691.83 / $2,344.23	Facility		$478.63	$691.83	$2,344.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $933.25 / $1,819.70	Professional		$676.08	$933.25	$1,819.70