Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,090.30 / $7,762.47	Facility		$660.69	$3,090.30	$7,762.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $630.96 / $1,318.26	Professional		$436.52	$630.96	$1,318.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $416.87 / $676.08 / $1,288.25	Professional	50	$416.87	$676.08	$1,288.25
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 $446.68 / $562.34 / $1,445.44	Professional		$446.68	$562.34	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $660.69 / $851.14 / $2,187.76	Professional	50	$660.69	$851.14	$2,187.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,698.24 / $6,165.95	Facility		$645.65	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $831.76	Professional		$645.65	$645.65	$831.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $50,118.72	Facility		$758.58	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,659.59	Professional		$398.11	$707.95	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $616.60 / $1,513.56	Facility		$457.09	$616.60	$1,513.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,288.25	Professional		$676.08	$831.76	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,230.27	Professional		$407.38	$707.95	$1,230.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $831.76 / $831.76	Facility		$831.76	$831.76	$831.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $851.14	Professional		$562.34	$562.34	$851.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $50,118.72 / $75,857.76	Facility		$446.68	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,202.26	Professional		$398.11	$707.95	$1,202.26
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 $398.11 / $575.44 / $1,174.90	Professional		$398.11	$575.44	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $630.96 / $1,479.11	Facility		$371.54	$630.96	$1,479.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $630.96 / $1,862.09	Professional		$407.38	$630.96	$1,862.09