Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $5,248.07 / $11,748.98	Facility		$512.86	$5,248.07	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $436.52 / $1,258.93	Professional		$323.59	$436.52	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,466.84 / $8,511.38 / $16,595.87	Facility		$4,466.84	$8,511.38	$16,595.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $346.74 / $977.24	Professional		$275.42	$346.74	$977.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,995.26 / $8,912.51	Facility		$524.81	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $524.81 / $524.81	Professional		$524.81	$524.81	$524.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,862.09 / $50,118.72	Facility		$630.96	$1,862.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $676.08 / $1,698.24	Professional		$380.19	$676.08	$1,698.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $776.25 / $1,380.38	Facility		$398.11	$776.25	$1,380.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $512.86 / $758.58	Professional		$398.11	$512.86	$758.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $489.78 / $933.25	Professional		$323.59	$489.78	$933.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $1,380.38 / $2,754.23	Facility		$691.83	$1,380.38	$2,754.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $50,118.72 / $75,857.76	Facility		$389.05	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $489.78 / $794.33	Professional		$398.11	$489.78	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,760.83 / $16,595.87	Facility		$2,511.89	$6,760.83	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $501.19 / $1,047.13	Professional		$354.81	$501.19	$1,047.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $426.58 / $1,230.27	Facility		$302.00	$426.58	$1,230.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $1,000.00	Professional		$302.00	$446.68	$1,000.00