Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.98 / $2,942.87 / $7,307.00	Facility		$218.98	$2,942.87	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $838.22 / $4,806.82 / $9,435.19	Facility	50	$838.22	$4,806.82	$9,435.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.97 / $187.72 / $407.25	Professional		$100.97	$187.72	$407.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $115.00 / $188.40 / $990.00	Professional	50	$115.00	$188.40	$990.00
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 $130.06 / $170.02 / $388.22	Professional		$130.06	$170.02	$388.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $195.09 / $255.03 / $582.33	Professional	50	$195.09	$255.03	$582.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $221.37 / $1,716.00 / $6,213.00	Facility		$221.37	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $221.37 / $221.37 / $221.37	Professional		$221.37	$221.37	$221.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $180.12 / $4,612.43	Facility		$180.12	$180.12	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $292.51 / $639.61	Professional		$121.85	$292.51	$639.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $183.50 / $271.95 / $7,533.00	Facility		$183.50	$271.95	$7,533.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.50 / $215.48 / $322.48	Professional		$183.50	$215.48	$322.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $171.98 / $318.99	Professional		$130.97	$171.98	$318.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,771.08 / $2,160.50 / $2,336.60	Facility		$1,771.08	$2,160.50	$2,336.60
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,402.75 / $3,402.75 / $3,402.75	Facility	50	$3,402.75	$3,402.75	$3,402.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $180.12 / $597.00 / $8,498.00	Facility		$180.12	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $160.02 / $285.73 / $645.45	Professional		$160.02	$285.73	$645.45
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 $132.85 / $196.14 / $467.67	Professional		$132.85	$196.14	$467.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $171.98 / $171.98 / $589.54	Facility		$171.98	$171.98	$589.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $140.53 / $183.74 / $374.05	Professional		$140.53	$183.74	$374.05