Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $3,019.95 / $7,762.47	Facility		$269.15	$3,019.95	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $346.74 / $1,023.29	Professional		$165.96	$346.74	$1,023.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $5,011.87 / $22,908.68	Facility		$2,630.27	$5,011.87	$22,908.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $812.83	Professional		$263.03	$331.13	$812.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,258.93 / $4,073.80	Facility		$213.80	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $213.80 / $512.86	Professional		$213.80	$213.80	$512.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $1,318.26 / $50,118.72	Facility		$257.04	$1,318.26	$50,118.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.29 / $51.29 / $51.29	Facility	53	$51.29	$51.29	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $416.87 / $1,096.48	Professional		$194.98	$416.87	$1,096.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $213.80 / $524.81	Facility		$158.49	$213.80	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $467.74 / $676.08	Professional		$346.74	$467.74	$676.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $436.52 / $758.58	Professional		$251.19	$436.52	$758.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,365.16 / $7,943.28	Facility		$1,445.44	$4,365.16	$7,943.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $50,118.72 / $75,857.76	Facility		$199.53	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $724.44	Professional		$398.11	$426.58	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $12,302.69	Facility		$2,137.96	$5,128.61	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $331.13 / $724.44	Professional		$165.96	$331.13	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $173.78 / $676.08	Facility		$123.03	$173.78	$676.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $398.11 / $758.58	Professional		$251.19	$398.11	$758.58