Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $6,025.60 / $15,488.17	Facility		$1,318.26	$6,025.60	$15,488.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $8,128.31 / $8,128.31 / $8,128.31	Facility	52	$8,128.31	$8,128.31	$8,128.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $1,318.26 / $3,630.78	Professional		$912.01	$1,318.26	$3,630.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $19,498.45	Facility		$4,073.80	$7,762.47	$19,498.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,174.90 / $2,630.27	Professional		$933.25	$1,174.90	$2,630.27
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,265.80 / $16,595.87	Facility		$1,445.44	$4,265.80	$16,595.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Professional		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,311.31 / $50,118.72	Facility		$1,698.24	$3,311.31	$50,118.72
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $1,348.96 / $1,348.96 / $1,348.96	Facility	52	$1,348.96	$1,348.96	$1,348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,659.59 / $4,570.88	Professional		$724.44	$1,659.59	$4,570.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,148.15 / $3,548.13	Facility		$912.01	$1,148.15	$3,548.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $977.24 / $1,318.26 / $1,862.09	Professional		$977.24	$1,318.26	$1,862.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,348.96 / $2,570.40	Professional		$812.83	$1,348.96	$2,570.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $7,585.78 / $11,481.54	Facility		$2,884.03	$7,585.78	$11,481.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $50,118.72 / $75,857.76	Facility		$1,000.00	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $1,318.26 / $2,137.96	Professional		$398.11	$1,318.26	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,888.44 / $13,803.84	Facility		$2,398.83	$5,888.44	$13,803.84
United Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $2,951.21	Professional		$776.25	$1,122.02	$2,951.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $1,122.02 / $3,162.28	Facility		$831.76	$1,122.02	$3,162.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,230.27 / $3,235.94	Professional		$812.83	$1,230.27	$3,235.94