Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $5,495.41 / $11,748.98	Facility		$295.12	$5,495.41	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $275.42 / $891.25	Professional		$194.98	$275.42	$891.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $588.84	Professional		$190.55	$239.88	$588.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $2,630.27 / $12,302.69	Facility		$309.03	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $346.74	Professional		$309.03	$309.03	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $2,290.87 / $50,118.72	Facility		$371.54	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $436.52 / $977.24	Professional		$263.03	$436.52	$977.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $398.11 / $794.33	Facility		$245.47	$398.11	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $363.08 / $851.14	Professional		$295.12	$363.08	$851.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $1,000.00	Professional		$190.55	$346.74	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $4,365.16 / $5,128.61	Facility		$3,162.28	$4,365.16	$5,128.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $50,118.72 / $75,857.76	Facility		$2,137.96	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $501.19	Professional		$288.40	$380.19	$501.19
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 $208.93 / $288.40 / $660.69	Professional		$208.93	$288.40	$660.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $239.88 / $741.31	Facility		$181.97	$239.88	$741.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $346.74 / $1,148.15	Professional		$190.55	$346.74	$1,148.15