Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $276.24 / $1,681.99 / $9,853.65	Facility		$276.24	$1,681.99	$9,853.65
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $191.67 / $253.33 / $365.86	Facility	54	$191.67	$253.33	$365.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.57 / $295.05 / $703.45	Professional		$230.57	$295.05	$703.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $297.83 / $650.54	Professional		$237.75	$297.83	$650.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $368.06 / $368.06 / $4,050.00	Facility		$368.06	$368.06	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $368.06 / $368.06 / $403.86	Professional		$368.06	$368.06	$403.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $460.77 / $14,648.00	Facility		$460.77	$460.77	$14,648.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.08 / $389.91 / $990.62	Professional		$263.08	$389.91	$990.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $308.88 / $731.77	Facility		$80.00	$308.88	$731.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $329.42 / $467.51 / $689.88	Professional		$329.42	$467.51	$689.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.88 / $282.88 / $282.88	Facility		$282.88	$282.88	$282.88
Excellus BCBS Facility/Professional Facility Modifier 54 Low / Median / High Price $223.47 / $223.47 / $223.47	Facility	54	$223.47	$223.47	$223.47
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.41 / $305.69 / $634.40	Professional		$217.41	$305.69	$634.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $220.57 / $312.25 / $466.70	Facility		$220.57	$312.25	$466.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $331.26 / $331.26	Professional		$331.26	$331.26	$331.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $460.77 / $555.00 / $597.00	Facility		$460.77	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier 54 Low / Median / High Price $322.54 / $322.54 / $322.54	Facility	54	$322.54	$322.54	$322.54
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $267.87 / $401.68 / $980.68	Professional		$267.87	$401.68	$980.68
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.04 / $361.30 / $943.91	Professional		$254.04	$361.30	$943.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $326.86 / $326.86 / $1,010.54	Facility		$326.86	$326.86	$1,010.54
Univera Facility/Professional Facility Modifier 54 Low / Median / High Price $223.47 / $258.22 / $258.22	Facility	54	$223.47	$258.22	$258.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $217.41 / $394.22 / $694.87	Professional		$217.41	$394.22	$694.87