Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $524.81 / $1,548.82	Facility		$33.88	$524.81	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $489.78 / $1,258.93	Professional		$363.08	$489.78	$1,258.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $851.14 / $1,698.24	Facility		$851.14	$851.14	$1,698.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $1,445.44	Professional		$489.78	$489.78	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $691.83 / $691.83	Facility		$645.65	$691.83	$691.83
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $691.83	Professional		$691.83	$691.83	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,445.44 / $50,118.72	Facility		$512.86	$1,445.44	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $891.25	Professional		$371.54	$371.54	$891.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $1,412.54 / $3,235.94	Facility		$851.14	$1,412.54	$3,235.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $933.25 / $1,621.81	Professional		$524.81	$933.25	$1,621.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $398.11	Facility		$380.19	$380.19	$398.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $524.81	Professional		$380.19	$501.19	$524.81
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $251.19 / $257.04	Professional		$251.19	$251.19	$257.04
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $676.08 / $676.08	Professional		$676.08	$676.08	$676.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $50,118.72 / $75,857.76	Facility		$812.83	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $812.83 / $812.83	Professional		$549.54	$812.83	$812.83
United Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $562.34 / $1,096.48	Facility		$331.13	$562.34	$1,096.48
United Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $436.52 / $724.44	Professional		$275.42	$436.52	$724.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $478.63 / $501.19	Facility		$380.19	$478.63	$501.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $524.81	Professional		$380.19	$501.19	$524.81