Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.88 / $3,841.00 / $8,442.00	Facility		$575.88	$3,841.00	$8,442.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,008.65 / $7,562.28 / $7,562.28	Facility	50	$7,008.65	$7,562.28	$7,562.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $403.66 / $562.86 / $1,200.08	Professional		$403.66	$562.86	$1,200.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $404.77 / $1,097.20	Professional		$314.10	$404.77	$1,097.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $659.24 / $1,716.00 / $6,213.00	Facility		$659.24	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $659.24 / $659.24 / $659.24	Professional		$659.24	$659.24	$659.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $526.04 / $526.04 / $4,612.43	Facility		$526.04	$526.04	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.79 / $747.20 / $1,678.42	Professional		$366.79	$747.20	$1,678.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $332.00 / $1,212.55	Facility		$150.00	$332.00	$1,212.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $538.91 / $627.80 / $939.54	Professional		$538.91	$627.80	$939.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $676.36 / $1,161.40	Professional		$357.75	$676.36	$1,161.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,867.45 / $1,867.45 / $1,867.45	Facility		$1,867.45	$1,867.45	$1,867.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $526.04 / $555.00 / $4,612.43	Facility		$526.04	$555.00	$4,612.43
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $375.00 / $747.20 / $1,678.42	Professional		$375.00	$747.20	$1,678.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $372.29 / $569.39 / $1,280.64	Professional		$372.29	$569.39	$1,280.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $507.46 / $507.46 / $1,338.54	Facility		$507.46	$507.46	$1,338.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $357.75 / $676.36 / $1,241.19	Professional		$357.75	$676.36	$1,241.19