Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $4,073.80 / $12,022.64	Facility		$645.65	$4,073.80	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,890.45 / $6,918.31 / $10,000.00	Facility	50	$3,890.45	$6,918.31	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $616.60 / $1,698.24	Professional		$467.74	$616.60	$1,698.24
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $1,096.48 / $3,162.28	Professional	50	$616.60	$1,096.48	$3,162.28
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 $416.87 / $537.03 / $1,380.38	Professional		$416.87	$537.03	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $616.60 / $812.83 / $2,089.30	Professional	50	$616.60	$812.83	$2,089.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,630.27 / $12,302.69	Facility		$776.25	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $870.96	Professional		$776.25	$776.25	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $2,511.89 / $50,118.72	Facility		$912.01	$2,511.89	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $741.31 / $1,659.59	Professional		$389.05	$741.31	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $645.65 / $1,819.70	Facility		$446.68	$645.65	$1,819.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $891.25 / $1,445.44	Professional		$741.31	$891.25	$1,445.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $676.08 / $1,148.15	Professional		$512.86	$676.08	$1,148.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,090.30	Facility		$3,090.30	$3,090.30	$3,090.30
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,548.13 / $4,570.88 / $11,748.98	Facility	50	$3,548.13	$4,570.88	$11,748.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $50,118.72 / $75,857.76	Facility		$602.56	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $724.44 / $891.25	Professional		$398.11	$724.44	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,981.07 / $8,317.64	Facility		$1,819.70	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $602.56 / $1,258.93	Professional		$346.74	$602.56	$1,258.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $588.84 / $1,905.46	Facility		$446.68	$588.84	$1,905.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $724.44 / $1,778.28	Professional		$512.86	$724.44	$1,778.28