Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $3,548.13 / $8,128.31	Facility		$302.00	$3,548.13	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $269.15 / $831.76	Professional		$194.98	$269.15	$831.76
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 $154.88 / $190.55 / $537.03	Professional		$154.88	$190.55	$537.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $1,698.24 / $6,165.95	Facility		$295.12	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,659.59 / $50,118.72	Facility		$354.81	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $380.19 / $954.99	Professional		$213.80	$380.19	$954.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $295.12 / $707.95	Facility		$218.78	$295.12	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $257.04 / $371.54	Professional		$194.98	$257.04	$371.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $446.68	Professional		$162.18	$281.84	$446.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $2,691.53 / $3,981.07	Facility		$1,949.84	$2,691.53	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $50,118.72 / $75,857.76	Facility		$229.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $457.09	Professional		$263.03	$316.23	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $8,317.64	Facility		$1,862.09	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $234.42 / $630.96	Professional		$162.18	$234.42	$630.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $269.15 / $724.44	Facility		$169.82	$269.15	$724.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $269.15 / $660.69	Professional		$162.18	$269.15	$660.69