Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $5,128.61 / $11,748.98	Facility		$724.44	$5,128.61	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $707.95 / $1,584.89	Professional		$436.52	$707.95	$1,584.89
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 $549.54 / $691.83 / $1,659.59	Professional		$549.54	$691.83	$1,659.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $12,302.69	Facility		$660.69	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $954.99	Professional		$660.69	$660.69	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $1,412.54 / $50,118.72	Facility		$794.33	$1,412.54	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $549.54 / $549.54 / $549.54	Facility	54	$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $776.25 / $1,819.70	Professional		$398.11	$776.25	$1,819.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $562.34 / $1,584.89	Facility		$478.63	$562.34	$1,584.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $933.25 / $1,445.44	Professional		$758.58	$933.25	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $794.33 / $1,412.54	Professional		$457.09	$794.33	$1,412.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $588.84	Professional		$575.44	$575.44	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $812.83 / $1,348.96	Professional		$398.11	$812.83	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,549.93	Facility		$1,905.46	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $602.56 / $1,288.25	Professional		$407.38	$602.56	$1,288.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $645.65 / $1,348.96	Facility		$389.05	$645.65	$1,348.96
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $309.03 / $309.03 / $524.81	Facility	54	$309.03	$309.03	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $691.83 / $1,905.46	Professional		$457.09	$691.83	$1,905.46