Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,630.27 / $7,413.10	Facility		$75.86	$2,630.27	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $275.42	Professional		$43.65	$97.72	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $218.78	Professional		$97.72	$117.49	$218.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $4,073.80	Facility		$61.66	$61.66	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $141.25	Professional		$61.66	$61.66	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $114.82 / $50,118.72	Facility		$34.67	$114.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $371.54	Professional		$58.88	$125.89	$371.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $213.80 / $338.84	Facility		$72.44	$213.80	$338.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $275.42	Professional		$141.25	$190.55	$275.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $158.49 / $257.04	Professional		$64.57	$158.49	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $104.71 / $104.71	Professional		$104.71	$104.71	$104.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $50,118.72 / $75,857.76	Facility		$48.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $398.11	Professional		$109.65	$141.25	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,754.23 / $4,897.79	Facility		$912.01	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $93.33 / $213.80	Professional		$46.77	$93.33	$213.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $47.86 / $162.18	Facility		$35.48	$47.86	$162.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $123.03 / $218.78	Professional		$64.57	$123.03	$218.78