Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $4,168.69 / $10,964.78	Facility		$602.56	$4,168.69	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $549.54 / $1,288.25	Professional		$398.11	$549.54	$1,288.25
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 $323.59 / $416.87 / $1,096.48	Professional		$323.59	$416.87	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,398.83 / $10,964.78	Facility		$602.56	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $2,290.87 / $50,118.72	Facility		$741.31	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $758.58 / $1,949.84	Professional		$426.58	$758.58	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $691.83 / $1,513.56	Facility		$467.74	$691.83	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $562.34 / $794.33	Professional		$416.87	$562.34	$794.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $616.60 / $1,071.52	Professional		$354.81	$616.60	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,019.95 / $3,019.95 / $3,019.95	Facility		$3,019.95	$3,019.95	$3,019.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $50,118.72 / $75,857.76	Facility		$467.74	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $933.25	Professional		$398.11	$575.44	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $478.63 / $1,288.25	Professional		$309.03	$478.63	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $575.44 / $1,412.54	Facility		$354.81	$575.44	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $575.44 / $1,380.38	Professional		$354.81	$575.44	$1,380.38