Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $2,951.21 / $7,762.47	Facility		$91.20	$2,951.21	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $114.82 / $288.40	Professional		$54.95	$114.82	$288.40
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 $100.00 / $123.03 / $302.00	Professional		$100.00	$123.03	$302.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $79.43 / $4,073.80	Facility		$79.43	$79.43	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $162.18	Professional		$79.43	$79.43	$162.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $89.13 / $50,118.72	Facility		$34.67	$89.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $138.04 / $363.08	Professional		$61.66	$138.04	$363.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $75.86 / $181.97	Facility		$56.23	$75.86	$181.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $371.54	Professional		$144.54	$204.17	$371.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $138.04 / $234.42	Professional		$97.72	$138.04	$234.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $724.44 / $741.31	Facility		$724.44	$724.44	$741.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $50,118.72 / $75,857.76	Facility		$74.13	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $295.12	Professional		$123.03	$158.49	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $109.65 / $269.15	Professional		$53.70	$109.65	$269.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $64.57 / $147.91	Facility		$44.67	$64.57	$147.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $128.82 / $223.87	Professional		$91.20	$128.82	$223.87