Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $6,165.95 / $15,488.17	Facility		$1,621.81	$6,165.95	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $3,801.89	Professional		$1,071.52	$1,412.54	$3,801.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $7,762.47 / $13,803.84	Facility		$3,981.07	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,148.15 / $2,884.03	Professional		$891.25	$1,148.15	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $3,467.37 / $13,489.63	Facility		$1,659.59	$3,467.37	$13,489.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $1,659.59 / $1,659.59	Professional		$1,659.59	$1,659.59	$1,659.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $1,949.84 / $50,118.72	Facility		$34.67	$1,949.84	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,380.38 / $1,380.38 / $1,380.38	Facility	54	$1,380.38	$1,380.38	$1,380.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,584.89 / $4,265.80	Professional		$954.99	$1,584.89	$4,265.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,380.38 / $3,801.89	Facility		$1,071.52	$1,380.38	$3,801.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,122.02 / $1,380.38 / $2,137.96	Professional		$1,122.02	$1,380.38	$2,137.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $2,454.71	Professional		$812.83	$1,412.54	$2,454.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,380.38 / $1,412.54 / $1,445.44	Professional		$1,380.38	$1,412.54	$1,445.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $50,118.72 / $75,857.76	Facility		$1,122.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,445.44 / $2,398.83	Professional		$398.11	$1,445.44	$2,398.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,754.40 / $13,489.63	Facility		$2,398.83	$5,754.40	$13,489.63
United Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,230.27 / $2,630.27	Professional		$933.25	$1,230.27	$2,630.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,584.89 / $2,951.21	Facility		$954.99	$1,584.89	$2,951.21
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $724.44 / $758.58 / $1,288.25	Facility	54	$724.44	$758.58	$1,288.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,412.54 / $2,951.21	Professional		$933.25	$1,412.54	$2,951.21