Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $3,162.28 / $10,000.00	Facility		$281.84	$3,162.28	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $457.09 / $3,090.30	Professional		$173.78	$457.09	$3,090.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,011.87 / $11,220.18 / $19,054.61	Facility		$5,011.87	$11,220.18	$19,054.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $2,238.72 / $3,235.94	Professional		$354.81	$2,238.72	$3,235.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $12,882.50	Facility		$478.63	$478.63	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $3,090.30	Professional		$478.63	$478.63	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $549.54 / $50,118.72	Facility		$34.67	$549.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $933.25 / $6,309.57	Professional		$229.09	$933.25	$6,309.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $371.54 / $1,122.02	Facility		$281.84	$371.54	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,570.40 / $3,548.13 / $5,128.61	Professional		$2,570.40	$3,548.13	$5,128.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $1,905.46 / $1,905.46	Facility		$1,905.46	$1,905.46	$1,905.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $2,570.40 / $4,466.84	Professional		$181.97	$2,570.40	$4,466.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $1,862.09 / $1,862.09	Facility		$1,862.09	$1,862.09	$1,862.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $50,118.72 / $75,857.76	Facility		$151.36	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $2,570.40 / $4,265.80	Professional		$398.11	$2,570.40	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $6,456.54 / $16,595.87	Facility		$2,454.71	$6,456.54	$16,595.87
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $758.58 / $3,715.35	Professional		$204.17	$758.58	$3,715.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $380.19 / $645.65	Facility		$190.55	$380.19	$645.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $2,187.76 / $4,265.80	Professional		$263.03	$2,187.76	$4,265.80