Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,981.07 / $11,481.54	Facility		$489.78	$3,981.07	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $204.17 / $4,570.88 / $8,709.64	Facility	50	$204.17	$4,570.88	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $426.58 / $1,071.52	Professional		$323.59	$426.58	$1,071.52
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $295.12 / $707.95 / $2,754.23	Professional	50	$295.12	$707.95	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $9,772.37 / $18,620.87	Facility		$4,570.88	$9,772.37	$18,620.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $338.84 / $954.99	Professional		$269.15	$338.84	$954.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $398.11 / $512.86 / $1,445.44	Professional	50	$398.11	$512.86	$1,445.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,630.27 / $12,302.69	Facility		$457.09	$2,630.27	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Professional		$457.09	$457.09	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $17,378.01 / $20,892.96	Facility		$549.54	$17,378.01	$20,892.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $660.69 / $1,479.11	Professional		$316.23	$660.69	$1,479.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $537.03 / $1,995.26	Facility		$316.23	$537.03	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $380.19 / $575.44	Professional		$288.40	$380.19	$575.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $416.87 / $676.08	Professional		$288.40	$416.87	$676.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,079.46 / $7,079.46 / $7,943.28	Facility		$7,079.46	$7,079.46	$7,943.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,698.24 / $9,120.11 / $13,489.63	Facility	50	$1,698.24	$9,120.11	$13,489.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $426.58 / $691.83	Professional		$398.11	$426.58	$691.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $12,882.50	Facility		$2,398.83	$5,128.61	$12,882.50
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $371.54 / $1,000.00	Professional		$257.04	$371.54	$1,000.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $346.74 / $1,513.56	Facility		$263.03	$346.74	$1,513.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $389.05 / $1,047.13	Professional		$263.03	$389.05	$1,047.13