Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $431.13 / $3,414.00 / $9,661.00	Facility		$431.13	$3,414.00	$9,661.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $808.80 / $3,991.62 / $10,177.62	Facility	50	$808.80	$3,991.62	$10,177.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $254.00 / $336.16 / $1,006.68	Professional		$254.00	$336.16	$1,006.68
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.17 / $547.66 / $3,677.00	Professional	50	$217.17	$547.66	$3,677.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,583.00 / $9,198.00 / $19,934.00	Facility		$4,583.00	$9,198.00	$19,934.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.00 / $284.97 / $866.06	Professional		$218.00	$284.97	$866.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $327.00 / $427.45 / $1,299.08	Professional	50	$327.00	$427.45	$1,299.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $370.72 / $1,990.00 / $8,917.50	Facility		$370.72	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $370.72 / $370.72 / $370.72	Professional		$370.72	$370.72	$370.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $16,558.00 / $19,950.00	Facility		$301.44	$16,558.00	$19,950.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $529.87 / $962.16	Professional		$204.24	$529.87	$962.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $406.35 / $8,650.00	Facility		$278.14	$406.35	$8,650.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.77 / $357.34 / $534.77	Professional		$302.77	$357.34	$534.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $227.79 / $281.14 / $486.05	Professional		$227.79	$281.14	$486.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,712.55 / $2,498.59 / $8,551.28	Facility		$1,712.55	$2,498.59	$8,551.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,211.12 / $3,846.80 / $13,468.09	Facility	50	$2,211.12	$3,846.80	$13,468.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $301.44 / $5,855.00 / $19,950.00	Facility		$301.44	$5,855.00	$19,950.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $276.38 / $509.45 / $1,208.44	Professional		$276.38	$509.45	$1,208.44
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 $231.40 / $337.32 / $821.55	Professional		$231.40	$337.32	$821.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $1,194.19	Facility		$286.33	$286.33	$1,194.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $243.39 / $329.09 / $622.76	Professional		$243.39	$329.09	$622.76