Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $3,162.28 / $7,762.47	Facility		$457.09	$3,162.28	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $489.78 / $1,148.15	Professional		$281.84	$489.78	$1,148.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $436.52 / $1,071.52	Professional		$346.74	$436.52	$1,071.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,698.24 / $6,165.95	Facility		$389.05	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $676.08	Professional		$389.05	$389.05	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $1,659.59 / $50,118.72	Facility		$467.74	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $616.60 / $1,621.81	Professional		$295.12	$616.60	$1,621.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $467.74 / $933.25	Facility		$281.84	$467.74	$933.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $933.25	Professional		$478.63	$645.65	$933.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,000.00	Professional		$380.19	$602.56	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $50,118.72 / $75,857.76	Facility		$316.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $1,000.00	Professional		$398.11	$616.60	$1,000.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,549.93	Facility		$2,137.96	$4,365.16	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $436.52 / $1,071.52	Professional		$239.88	$436.52	$1,071.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $346.74 / $954.99	Facility		$218.78	$346.74	$954.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $602.56 / $1,047.13	Professional		$380.19	$602.56	$1,047.13