Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $2,884.03 / $7,762.47	Facility		$269.15	$2,884.03	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $389.05 / $2,884.03 / $16,595.87	Facility	50	$389.05	$2,884.03	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $309.03 / $891.25	Professional		$165.96	$309.03	$891.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $524.81 / $1,659.59	Professional	50	$331.13	$524.81	$1,659.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $208.93 / $724.44	Professional		$158.49	$208.93	$724.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $239.88 / $309.03 / $1,096.48	Professional	50	$239.88	$309.03	$1,096.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $1,698.24 / $6,165.95	Facility		$223.87	$1,698.24	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $363.08	Professional		$223.87	$223.87	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $1,659.59 / $50,118.72	Facility		$269.15	$1,659.59	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $380.19 / $933.25	Professional		$190.55	$380.19	$933.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $218.78 / $537.03	Facility		$162.18	$218.78	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $549.54	Professional		$281.84	$380.19	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $645.65	Professional		$234.42	$331.13	$645.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $3,630.78 / $6,760.83	Facility		$2,238.72	$3,630.78	$6,760.83
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $5,754.40 / $10,232.93	Facility	50	$2,238.72	$5,754.40	$10,232.93
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $50,118.72 / $75,857.76	Facility		$194.98	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $380.19 / $537.03	Professional		$309.03	$380.19	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $8,317.64	Facility		$1,862.09	$3,981.07	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $251.19 / $645.65	Professional		$138.04	$251.19	$645.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $173.78 / $660.69	Facility		$128.82	$173.78	$660.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $645.65	Professional		$208.93	$316.23	$645.65