Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $3,235.94 / $8,912.51	Facility		$275.42	$3,235.94	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $338.84 / $831.76	Professional		$154.88	$338.84	$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 $234.42 / $302.00 / $676.08	Professional		$234.42	$302.00	$676.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,698.24 / $6,165.95	Facility		$213.80	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $446.68	Professional		$213.80	$213.80	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,659.59 / $50,118.72	Facility		$257.04	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $398.11 / $1,122.02	Professional		$177.83	$398.11	$1,122.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $257.04 / $524.81	Facility		$154.88	$257.04	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $316.23 / $562.34	Professional		$181.97	$316.23	$562.34
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $407.38 / $794.33	Professional		$218.78	$407.38	$794.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,884.03 / $6,606.93	Facility		$1,995.26	$2,884.03	$6,606.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $50,118.72 / $75,857.76	Facility		$173.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $398.11 / $645.65	Professional		$354.81	$398.11	$645.65
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 $134.90 / $269.15 / $660.69	Professional		$134.90	$269.15	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $194.98 / $524.81	Facility		$123.03	$194.98	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $380.19 / $794.33	Professional		$218.78	$380.19	$794.33