Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,467.37 / $8,912.51	Facility		$660.69	$3,467.37	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $1,778.28	Professional		$436.52	$575.44	$1,778.28
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 $338.84 / $436.52 / $1,202.26	Professional		$338.84	$436.52	$1,202.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $1,698.24 / $6,165.95	Facility		$660.69	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,659.59 / $50,118.72	Facility		$794.33	$1,659.59	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $954.99 / $954.99 / $954.99	Facility	22	$954.99	$954.99	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $794.33 / $2,137.96	Professional		$407.38	$794.33	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,584.89	Facility		$478.63	$812.83	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $575.44 / $831.76	Professional		$436.52	$575.44	$831.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $691.83 / $1,000.00	Professional		$371.54	$691.83	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,801.89 / $5,248.07 / $8,912.51	Facility		$3,801.89	$5,248.07	$8,912.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,023.29	Professional		$398.11	$630.96	$1,023.29
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,365.16 / $9,772.37	Facility		$2,137.96	$4,365.16	$9,772.37
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $524.81 / $1,412.54	Professional		$363.08	$524.81	$1,412.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $1,698.24	Facility		$380.19	$602.56	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $616.60 / $1,513.56	Professional		$380.19	$616.60	$1,513.56