Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $3,311.31 / $9,120.11	Facility		$398.11	$3,311.31	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $676.08 / $1,995.26	Professional		$275.42	$676.08	$1,995.26
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 $776.25 / $977.24 / $2,290.87	Professional		$776.25	$977.24	$2,290.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $1,698.24 / $6,165.95	Facility		$363.08	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $1,230.27	Professional		$363.08	$363.08	$1,230.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,659.59 / $50,118.72	Facility		$436.52	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.65 / $43.65 / $43.65	Facility	AS	$43.65	$43.65	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $741.31 / $1,862.09	Professional		$251.19	$741.31	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $371.54 / $891.25	Facility		$269.15	$371.54	$891.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,122.02 / $1,621.81	Professional		$794.33	$1,122.02	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $912.01 / $1,479.11	Professional		$630.96	$912.01	$1,479.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $4,168.69 / $10,232.93	Facility		$2,511.89	$4,168.69	$10,232.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $316.23 / $616.60	Professional		$281.84	$316.23	$616.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $50,118.72 / $75,857.76	Facility		$309.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $870.96 / $1,096.48 / $1,202.26	Professional		$870.96	$1,096.48	$1,202.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $741.31 / $1,659.59	Professional		$263.03	$741.31	$1,659.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $323.59 / $1,071.52	Facility		$208.93	$323.59	$1,071.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $912.01 / $1,698.24	Professional		$562.34	$912.01	$1,698.24