Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $575.44 / $812.83	Facility		$263.03	$575.44	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $707.95	Professional		$309.03	$426.58	$707.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $1,479.11	Facility		$741.31	$741.31	$1,479.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $575.44 / $1,230.27	Professional		$562.34	$575.44	$1,230.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $602.56	Facility		$562.34	$602.56	$602.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,348.96 / $50,118.72	Facility		$512.86	$1,348.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $724.44	Professional		$371.54	$371.54	$724.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $1,202.26 / $2,818.38	Facility		$741.31	$1,202.26	$2,818.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $812.83 / $1,412.54	Professional		$467.74	$812.83	$1,412.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $616.60	Facility		$588.84	$588.84	$616.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $588.84	Professional		$436.52	$457.09	$588.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $588.84 / $588.84	Professional		$588.84	$588.84	$588.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $50,118.72 / $75,857.76	Facility		$1,258.93	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $707.95 / $707.95	Professional		$478.63	$707.95	$707.95
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $562.34 / $954.99	Facility		$295.12	$562.34	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $398.11 / $602.56	Professional		$239.88	$398.11	$602.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $446.68 / $616.60	Facility		$436.52	$446.68	$616.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $457.09 / $588.84	Professional		$436.52	$457.09	$588.84