Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.28 / $4,135.27 / $10,296.00	Facility		$827.28	$4,135.27	$10,296.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,962.47 / $6,380.70 / $11,715.06	Facility	50	$2,962.47	$6,380.70	$11,715.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $586.19 / $822.09 / $2,289.71	Professional		$586.19	$822.09	$2,289.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $288.10 / $2,037.06 / $4,938.00	Professional	50	$288.10	$2,037.06	$4,938.00
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 $731.94 / $908.95 / $2,374.12	Professional		$731.94	$908.95	$2,374.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,097.91 / $1,363.42 / $3,609.25	Professional	50	$1,097.91	$1,363.42	$3,609.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $946.06 / $2,390.00 / $10,957.50	Facility		$946.06	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $946.06 / $946.06 / $1,174.29	Professional		$946.06	$946.06	$1,174.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,140.38 / $1,140.38 / $6,511.02	Facility		$1,140.38	$1,140.38	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $565.71 / $1,192.69 / $3,051.25	Professional		$565.71	$1,192.69	$3,051.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,035.00 / $1,790.55	Facility		$332.00	$1,035.00	$1,790.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $976.70 / $1,125.26 / $1,689.69	Professional		$976.70	$1,125.26	$1,689.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.42 / $1,128.20 / $1,958.41	Professional		$720.42	$1,128.20	$1,958.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,054.07 / $3,054.07 / $3,054.07	Facility		$3,054.07	$3,054.07	$3,054.07
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,669.44 / $2,669.44 / $11,721.80	Facility	50	$2,669.44	$2,669.44	$11,721.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $597.00 / $1,140.38 / $23,610.00	Facility		$597.00	$1,140.38	$23,610.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $665.54 / $1,298.59 / $3,070.09	Professional		$665.54	$1,298.59	$3,070.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,908.00 / $32,490.00	Facility		$2,031.00	$4,908.00	$32,490.00
United Facility/Professional Professional Modifier Low / Median / High Price $574.25 / $1,059.40 / $2,564.00	Professional		$574.25	$1,059.40	$2,564.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $722.29 / $722.29 / $2,369.27	Facility		$722.29	$722.29	$2,369.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $720.42 / $1,128.20 / $2,091.77	Professional		$720.42	$1,128.20	$2,091.77