Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $3,162.28 / $8,128.31	Facility		$309.03	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $218.78 / $676.08	Professional		$2.24	$218.78	$676.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $281.84 / $794.33	Professional		$218.78	$281.84	$794.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,698.24 / $6,165.95	Facility		$190.55	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $363.08	Professional		$190.55	$190.55	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,659.59 / $50,118.72	Facility		$223.87	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $181.97 / $181.97 / $181.97	Facility	52	$181.97	$181.97	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $346.74 / $891.25	Professional		$151.36	$346.74	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $208.93 / $457.09	Facility		$141.25	$208.93	$457.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $398.11 / $575.44	Professional		$302.00	$398.11	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $537.03	Professional		$234.42	$316.23	$537.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,290.87 / $4,570.88	Facility		$1,380.38	$2,290.87	$4,570.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $50,118.72 / $75,857.76	Facility		$154.88	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $371.54 / $537.03	Professional		$309.03	$371.54	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $10,964.78	Facility		$1,862.09	$4,168.69	$10,964.78
United Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $234.42 / $575.44	Professional		$117.49	$234.42	$575.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $144.54 / $524.81	Facility		$107.15	$144.54	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $309.03 / $602.56	Professional		$208.93	$309.03	$602.56