Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $553.95 / $5,164.00 / $13,407.00	Facility		$553.95	$5,164.00	$13,407.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,471.98 / $10,517.90 / $18,670.32	Facility	50	$3,471.98	$10,517.90	$18,670.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $393.86 / $534.82 / $1,453.51	Professional		$393.86	$534.82	$1,453.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $422.06 / $551.72 / $1,531.66	Professional		$422.06	$551.72	$1,531.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $648.90 / $1,990.00 / $8,917.50	Facility		$648.90	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $648.90 / $648.90 / $805.02	Professional		$648.90	$648.90	$805.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.10 / $789.10 / $5,246.94	Facility		$789.10	$789.10	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.61 / $835.26 / $1,874.69	Professional		$390.61	$835.26	$1,874.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $735.00 / $1,254.02	Facility		$319.00	$735.00	$1,254.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $680.26 / $773.29 / $1,692.07	Professional		$680.26	$773.29	$1,692.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $612.91 / $1,135.59	Professional		$397.05	$612.91	$1,135.59
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,004.90 / $5,895.79 / $11,658.04	Facility		$4,004.90	$5,895.79	$11,658.04
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $5,041.89 / $5,041.89 / $12,328.19	Facility	50	$5,041.89	$5,041.89	$12,328.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $538.90 / $606.08 / $1,100.01	Professional		$538.90	$606.08	$1,100.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $789.10 / $23,610.00	Facility		$597.00	$789.10	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $420.21 / $879.01 / $1,874.69	Professional		$420.21	$879.01	$1,874.69
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,908.00 / $10,452.00	Facility		$2,031.00	$4,908.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $390.98 / $713.44 / $1,775.04	Professional		$390.98	$713.44	$1,775.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $494.96 / $494.96 / $1,383.27	Facility		$494.96	$494.96	$1,383.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $397.05 / $639.66 / $1,205.27	Professional		$397.05	$639.66	$1,205.27