Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.56 / $2,842.00 / $8,020.00	Facility		$235.56	$2,842.00	$8,020.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $391.68 / $3,445.95 / $16,551.32	Facility	50	$391.68	$3,445.95	$16,551.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.97 / $297.72 / $687.61	Professional		$167.97	$297.72	$687.61
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $316.14 / $481.28 / $652.14	Professional	50	$316.14	$481.28	$652.14
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 $158.54 / $207.25 / $676.44	Professional		$158.54	$207.25	$676.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $237.81 / $310.87 / $1,014.66	Professional	50	$237.81	$310.87	$1,014.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $222.30 / $1,716.00 / $6,213.00	Facility		$222.30	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $222.30 / $222.30 / $361.24	Professional		$222.30	$222.30	$361.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.99 / $271.99 / $4,612.43	Facility		$271.99	$271.99	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.01 / $371.49 / $861.74	Professional		$180.01	$371.49	$861.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $184.00 / $250.00 / $416.48	Facility		$184.00	$250.00	$416.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $297.14 / $356.56 / $757.28	Professional		$297.14	$356.56	$757.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $221.51 / $281.20 / $472.65	Professional		$221.51	$281.20	$472.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,205.56 / $3,664.32 / $5,551.85	Facility		$2,205.56	$3,664.32	$5,551.85
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,402.28 / $3,402.75 / $7,929.30	Facility	50	$2,402.28	$3,402.75	$7,929.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $271.99 / $597.00 / $8,498.00	Facility		$271.99	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $198.25 / $387.83 / $893.73	Professional		$198.25	$387.83	$893.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $317.55 / $745.53	Professional		$219.87	$317.55	$745.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.04 / $173.04 / $661.68	Facility		$173.04	$173.04	$661.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $209.25 / $304.02 / $516.44	Professional		$209.25	$304.02	$516.44