Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $2,754.23 / $7,762.47	Facility		$123.03	$2,754.23	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $181.97 / $512.86	Professional		$79.43	$181.97	$512.86
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 $141.25 / $177.83 / $446.68	Professional		$141.25	$177.83	$446.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $4,073.80	Facility		$120.23	$120.23	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $281.84	Professional		$120.23	$120.23	$281.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $141.25 / $50,118.72	Facility		$34.67	$141.25	$50,118.72
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $28.18 / $28.18 / $28.18	Facility	53	$28.18	$28.18	$28.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $616.60	Professional		$91.20	$213.80	$616.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $97.72 / $275.42	Facility		$75.86	$97.72	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $281.84 / $363.08	Professional		$190.55	$281.84	$363.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $398.11	Professional		$169.82	$223.87	$398.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $407.38	Facility		$407.38	$407.38	$407.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $50,118.72 / $75,857.76	Facility		$93.33	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $489.78	Professional		$234.42	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $199.53 / $426.58	Professional		$89.13	$199.53	$426.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $95.50 / $416.87	Facility		$67.61	$95.50	$416.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $446.68	Professional		$151.36	$223.87	$446.68