Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $365.66 / $3,316.00 / $10,517.90	Facility		$365.66	$3,316.00	$10,517.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,946.78 / $4,427.96 / $6,514.21	Facility	50	$1,946.78	$4,427.96	$6,514.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $232.78 / $385.53 / $1,228.99	Professional		$232.78	$385.53	$1,228.99
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.76 / $393.40 / $847.93	Professional	50	$124.76	$393.40	$847.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $8,007.00 / $16,083.00	Facility		$4,583.00	$8,007.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.37 / $397.34 / $833.39	Professional		$323.37	$397.34	$833.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $485.05 / $596.02 / $1,250.08	Professional	50	$485.05	$596.02	$1,250.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $340.22 / $1,990.00 / $8,917.50	Facility		$340.22	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $340.22 / $340.22 / $619.04	Professional		$340.22	$340.22	$619.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $412.56 / $412.56 / $5,246.94	Facility		$412.56	$412.56	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.42 / $544.16 / $1,344.25	Professional		$240.42	$544.16	$1,344.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $255.37 / $361.35 / $8,650.00	Facility		$255.37	$361.35	$8,650.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $454.19 / $587.98 / $879.94	Professional		$454.19	$587.98	$879.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $240.64 / $472.36 / $801.83	Professional		$240.64	$472.36	$801.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,153.66 / $10,735.07 / $22,308.49	Facility		$2,153.66	$10,735.07	$22,308.49
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,837.32 / $11,605.34 / $12,330.25	Facility	50	$3,837.32	$11,605.34	$12,330.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $412.56 / $597.00 / $8,498.00	Facility		$412.56	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $304.95 / $564.11 / $1,374.29	Professional		$304.95	$564.11	$1,374.29
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 $326.05 / $486.60 / $1,167.00	Professional		$326.05	$486.60	$1,167.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $262.26 / $262.26 / $1,021.29	Facility		$262.26	$262.26	$1,021.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $240.64 / $542.89 / $876.10	Professional		$240.64	$542.89	$876.10