Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,951.21 / $8,511.38	Facility		$426.58	$2,951.21	$8,511.38
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility	54	$1,819.70	$1,819.70	$1,819.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $407.38 / $1,122.02	Professional		$288.40	$407.38	$1,122.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $354.81 / $851.14	Professional		$281.84	$354.81	$851.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $6,165.95	Facility		$436.52	$436.52	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $489.78	Professional		$436.52	$436.52	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $524.81 / $50,118.72	Facility		$34.67	$524.81	$50,118.72
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.54 / $371.54 / $371.54	Facility	54	$371.54	$371.54	$371.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $1,318.26	Professional		$316.23	$489.78	$1,318.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $398.11 / $1,096.48	Facility		$269.15	$398.11	$1,096.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $912.01	Professional		$457.09	$630.96	$912.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $263.03 / $263.03 / $263.03	Facility	54	$263.03	$263.03	$263.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $741.31	Professional		$281.84	$446.68	$741.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $407.38 / $3,388.44	Facility		$309.03	$407.38	$3,388.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $407.38 / $812.83	Professional		$281.84	$407.38	$812.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $50,118.72 / $75,857.76	Facility		$302.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $457.09 / $954.99	Professional		$398.11	$457.09	$954.99
United Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,754.23 / $4,897.79	Facility		$831.76	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $407.38 / $1,000.00	Professional		$269.15	$407.38	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $380.19 / $1,122.02	Facility		$257.04	$380.19	$1,122.02
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $204.17 / $218.78 / $295.12	Facility	54	$204.17	$218.78	$295.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $426.58 / $851.14	Professional		$288.40	$426.58	$851.14