Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $3,162.28 / $8,128.31	Facility		$223.87	$3,162.28	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $263.03 / $549.54	Professional		$128.82	$263.03	$549.54
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $257.04 / $257.04 / $257.04	Professional	50	$257.04	$257.04	$257.04
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 $208.93 / $263.03 / $676.08	Professional		$208.93	$263.03	$676.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $398.11 / $1,023.29	Professional	50	$309.03	$398.11	$1,023.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $1,698.24 / $6,165.95	Facility		$190.55	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $398.11	Professional		$190.55	$190.55	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $229.09 / $50,118.72	Facility		$229.09	$229.09	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $295.12 / $707.95	Professional		$128.82	$295.12	$707.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $309.03	Facility		$64.57	$138.04	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $588.84	Professional		$309.03	$380.19	$588.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $316.23 / $562.34	Professional		$186.21	$316.23	$562.34
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $251.19 / $251.19	Professional	50	$251.19	$251.19	$251.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $398.11 / $549.54	Professional		$316.23	$398.11	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,630.78 / $8,128.31	Facility		$1,698.24	$3,630.78	$8,128.31
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $489.78	Professional		$120.23	$234.42	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $186.21 / $426.58	Facility		$112.20	$186.21	$426.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $275.42 / $691.83	Professional		$186.21	$275.42	$691.83