Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,981.07 / $10,964.78	Facility		$660.69	$3,981.07	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $1,995.26 / $3,890.45	Professional		$426.58	$1,995.26	$3,890.45
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 $1,819.70 / $2,290.87 / $5,495.41	Professional		$1,819.70	$2,290.87	$5,495.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $2,398.83 / $12,882.50	Facility		$616.60	$2,398.83	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $3,388.44	Professional		$616.60	$616.60	$3,388.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $724.44 / $50,118.72	Facility		$34.67	$724.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $1,949.84 / $5,495.41	Professional		$416.87	$1,949.84	$5,495.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,479.11	Facility		$416.87	$524.81	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,454.71 / $2,951.21 / $4,570.88	Professional		$2,454.71	$2,951.21	$4,570.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,584.89 / $2,570.40 / $4,466.84	Professional		$1,584.89	$2,570.40	$4,466.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $50,118.72 / $75,857.76	Facility		$3,235.94	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2,691.53 / $3,311.31 / $5,495.41	Professional		$2,691.53	$3,311.31	$5,495.41
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 $380.19 / $1,778.28 / $3,467.37	Professional		$380.19	$1,778.28	$3,467.37
Univera Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $562.34 / $602.56	Facility		$363.08	$562.34	$602.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $1,905.46 / $4,365.16	Professional		$575.44	$1,905.46	$4,365.16