Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $240.69 / $3,582.00 / $10,965.00	Facility		$240.69	$3,582.00	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,588.00 / $2,634.40 / $2,634.40	Facility	50	$1,588.00	$2,634.40	$2,634.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.37 / $1,905.73 / $3,725.98	Professional		$166.37	$1,905.73	$3,725.98
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,035.23 / $5,584.65 / $6,050.98	Professional	50	$1,035.23	$5,584.65	$6,050.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,399.31 / $1,814.61 / $4,876.57	Professional		$1,399.31	$1,814.61	$4,876.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,098.96 / $2,721.92 / $7,314.85	Professional	50	$2,098.96	$2,721.92	$7,314.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $1,716.00 / $6,213.00	Facility		$220.51	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $220.51 / $2,645.96	Professional		$220.51	$220.51	$2,645.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $268.01 / $13,296.25	Facility		$268.01	$268.01	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $886.77 / $5,526.75	Professional		$190.61	$886.77	$5,526.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $234.90 / $407.63	Facility		$142.00	$234.90	$407.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,641.11 / $2,096.69 / $3,154.59	Professional		$1,641.11	$2,096.69	$3,154.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,207.28 / $1,780.72 / $2,992.95	Professional		$1,207.28	$1,780.72	$2,992.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,237.31 / $13,237.31 / $13,237.31	Facility		$13,237.31	$13,237.31	$13,237.31
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $14,903.23 / $14,903.23 / $14,903.23	Facility	50	$14,903.23	$14,903.23	$14,903.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $268.01 / $555.00 / $13,296.25	Facility		$268.01	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $222.01 / $1,916.14 / $5,547.38	Professional		$222.01	$1,916.14	$5,547.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,735.00 / $11,176.00	Facility		$2,264.00	$5,735.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,518.30 / $2,272.71 / $5,986.15	Professional		$1,518.30	$2,272.71	$5,986.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $170.29 / $170.29 / $421.07	Facility		$170.29	$170.29	$421.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $497.28 / $1,763.16 / $2,992.95	Professional		$497.28	$1,763.16	$2,992.95