Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.06 / $3,917.00 / $13,113.16	Facility		$673.06	$3,917.00	$13,113.16
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $721.91 / $721.91 / $721.91	Facility	50	$721.91	$721.91	$721.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $420.77 / $565.50 / $1,918.00	Professional		$420.77	$565.50	$1,918.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $6,758.00 / $20,583.00	Facility		$3,283.00	$6,758.00	$20,583.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.50 / $428.48 / $1,243.66	Professional		$332.50	$428.48	$1,243.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $779.75 / $1,254.00 / $4,050.00	Facility		$779.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $779.75 / $779.75 / $779.75	Professional		$779.75	$779.75	$779.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $628.66 / $628.66 / $3,479.91	Facility		$628.66	$628.66	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.60 / $877.50 / $2,029.40	Professional		$426.60	$877.50	$2,029.40
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $597.65 / $1,476.36	Facility		$332.00	$597.65	$1,476.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $656.16 / $755.57 / $1,135.16	Professional		$656.16	$755.57	$1,135.16
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $627.09 / $1,248.35	Professional		$388.06	$627.09	$1,248.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,038.54 / $1,106.97 / $3,991.73	Facility		$1,038.54	$1,106.97	$3,991.73
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,327.49 / $3,329.69 / $5,139.53	Facility	50	$3,327.49	$3,329.69	$5,139.53
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $636.01 / $636.01 / $636.01	Professional		$636.01	$636.01	$636.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $628.66 / $23,610.00	Facility		$597.00	$628.66	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $446.52 / $877.50 / $1,941.95	Professional		$446.52	$877.50	$1,941.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,337.00 / $5,963.00 / $11,557.55	Facility		$2,337.00	$5,963.00	$11,557.55
United Facility/Professional Professional Modifier Low / Median / High Price $349.53 / $682.03 / $1,504.41	Professional		$349.53	$682.03	$1,504.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $594.57 / $594.57 / $1,404.41	Facility		$594.57	$594.57	$1,404.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.06 / $689.30 / $1,337.36	Professional		$388.06	$689.30	$1,337.36