Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $4,677.35 / $10,232.93	Facility		$794.33	$4,677.35	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $724.44 / $2,089.30	Professional		$524.81	$724.44	$2,089.30
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 $467.74 / $588.84 / $1,445.44	Professional		$467.74	$588.84	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,995.26 / $8,912.51	Facility		$812.83	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $812.83	Professional		$812.83	$812.83	$812.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,862.09 / $50,118.72	Facility		$977.24	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $954.99 / $2,570.40	Professional		$489.78	$954.99	$2,570.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $977.24 / $2,041.74	Facility		$602.56	$977.24	$2,041.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,047.13	Professional		$549.54	$724.44	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $776.25 / $1,202.26	Professional		$478.63	$776.25	$1,202.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,488.17 / $15,488.17 / $15,488.17	Facility		$15,488.17	$15,488.17	$15,488.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $50,118.72 / $75,857.76	Facility		$630.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $758.58 / $1,230.27	Professional		$398.11	$758.58	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $11,481.54	Facility		$2,398.83	$5,128.61	$11,481.54
United Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $630.96 / $1,698.24	Professional		$416.87	$630.96	$1,698.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $758.58 / $1,905.46	Facility		$467.74	$758.58	$1,905.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $1,778.28	Professional		$467.74	$758.58	$1,778.28