Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,801.89 / $9,120.11	Facility		$954.99	$3,801.89	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $831.76 / $2,187.76	Professional		$616.60	$831.76	$2,187.76
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 $549.54 / $691.83 / $1,778.28	Professional		$549.54	$691.83	$1,778.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,398.83 / $10,964.78	Facility		$954.99	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,148.15 / $50,118.72	Facility		$34.67	$1,148.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,122.02 / $3,090.30	Professional		$575.44	$1,122.02	$3,090.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $776.25 / $2,344.23	Facility		$630.96	$776.25	$2,344.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $870.96 / $1,258.93	Professional		$645.65	$870.96	$1,258.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $912.01 / $1,445.44	Professional		$602.56	$912.01	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $3,981.07 / $3,981.07	Facility		$3,981.07	$3,981.07	$3,981.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $954.99 / $1,778.28	Professional		$794.33	$954.99	$1,778.28
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 $501.19 / $758.58 / $1,995.26	Professional		$501.19	$758.58	$1,995.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $912.01 / $1,698.24	Facility		$512.86	$912.01	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $891.25 / $1,737.80	Professional		$549.54	$891.25	$1,737.80