Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,570.40 / $7,762.47	Facility		$269.15	$2,570.40	$7,762.47
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $2,511.89 / $2,511.89 / $2,511.89	Facility	52	$2,511.89	$2,511.89	$2,511.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $630.96 / $4,786.30	Professional		$194.98	$630.96	$4,786.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $512.86	Professional		$194.98	$245.47	$512.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $16,595.87	Facility		$302.00	$302.00	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $363.08 / $50,118.72	Facility		$34.67	$363.08	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $436.52 / $436.52 / $436.52	Facility	22	$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $288.40 / $288.40 / $288.40	Facility	52	$288.40	$288.40	$288.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $36.31 / $36.31 / $36.31	Facility	AS	$36.31	$36.31	$36.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $295.12 / $758.58	Professional		$158.49	$295.12	$758.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $229.09 / $707.95	Facility		$190.55	$229.09	$707.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $309.03 / $512.86	Professional		$263.03	$309.03	$512.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $389.05	Professional		$154.88	$229.09	$389.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $3,890.45	Facility		$251.19	$251.19	$3,890.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $263.03	Professional		$199.53	$257.04	$263.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $295.12 / $645.65	Professional		$239.88	$295.12	$645.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $2,754.23 / $4,897.79	Facility		$1,258.93	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $489.78	Professional		$128.82	$229.09	$489.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $229.09 / $549.54	Facility		$173.78	$229.09	$549.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $251.19 / $630.96	Professional		$154.88	$251.19	$630.96