Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $3,630.78 / $12,022.64	Facility		$707.95	$3,630.78	$12,022.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $724.44 / $724.44 / $724.44	Facility	50	$724.44	$724.44	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $562.34 / $1,659.59	Professional		$426.58	$562.34	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $21,877.62	Facility		$3,388.44	$7,413.10	$21,877.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $426.58 / $1,288.25	Professional		$331.13	$426.58	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $1,258.93 / $4,073.80	Facility		$776.25	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $1,318.26 / $50,118.72	Facility		$933.25	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $851.14 / $2,454.71	Professional		$407.38	$851.14	$2,454.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $630.96 / $1,949.84	Facility		$478.63	$630.96	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $741.31 / $1,047.13	Professional		$549.54	$741.31	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $954.99 / $1,621.81	Professional		$446.68	$954.99	$1,621.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,698.24	Facility		$1,096.48	$1,096.48	$1,698.24
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,311.31 / $3,311.31 / $3,311.31	Facility	50	$3,311.31	$3,311.31	$3,311.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $50,118.72 / $75,857.76	Facility		$489.78	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $660.69 / $1,479.11	Professional		$398.11	$660.69	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,248.07 / $12,302.69	Facility		$2,398.83	$5,248.07	$12,302.69
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $575.44 / $1,445.44	Professional		$316.23	$575.44	$1,445.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $588.84 / $1,412.54	Facility		$380.19	$588.84	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $741.31 / $1,412.54	Professional		$446.68	$741.31	$1,412.54