Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $3,090.30 / $7,762.47	Facility		$316.23	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $1,148.15	Professional		$190.55	$316.23	$1,148.15
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 $257.04 / $316.23 / $724.44	Professional		$257.04	$316.23	$724.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $4,073.80	Facility		$263.03	$263.03	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $416.87	Professional		$263.03	$263.03	$416.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $309.03 / $50,118.72	Facility		$34.67	$309.03	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $426.58 / $1,047.13	Professional		$204.17	$426.58	$1,047.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $194.98 / $446.68	Facility		$100.00	$194.98	$446.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $398.11 / $575.44	Professional		$295.12	$398.11	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $371.54 / $691.83	Professional		$223.87	$371.54	$691.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $4,786.30	Facility		$794.33	$794.33	$4,786.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $50,118.72 / $75,857.76	Facility		$199.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $616.60	Professional		$354.81	$398.11	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $691.83	Professional		$162.18	$269.15	$691.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $218.78 / $660.69	Facility		$147.91	$218.78	$660.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $354.81 / $602.56	Professional		$223.87	$354.81	$602.56