Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.11 / $3,731.00 / $10,965.00	Facility		$314.11	$3,731.00	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,305.50 / $2,158.06 / $3,307.00	Facility	50	$1,305.50	$2,158.06	$3,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.24 / $1,662.97 / $4,214.43	Professional		$189.24	$1,662.97	$4,214.43
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $164.78 / $1,404.36 / $6,133.92	Professional	50	$164.78	$1,404.36	$6,133.92
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 $1,418.40 / $1,839.37 / $5,793.32	Professional		$1,418.40	$1,839.37	$5,793.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,127.60 / $2,759.05 / $8,689.98	Professional	50	$2,127.60	$2,759.05	$8,689.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $250.88 / $1,716.00 / $6,213.00	Facility		$250.88	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $250.88 / $250.88 / $2,682.06	Professional		$250.88	$250.88	$2,682.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $306.08 / $13,296.25	Facility		$306.08	$306.08	$13,296.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.83 / $1,013.15 / $5,946.85	Professional		$214.83	$1,013.15	$5,946.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $170.00 / $258.00 / $466.36	Facility		$170.00	$258.00	$466.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,854.22 / $2,132.01 / $3,207.80	Professional		$1,854.22	$2,132.01	$3,207.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,424.24 / $2,004.09 / $3,039.05	Professional		$1,424.24	$2,004.09	$3,039.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,408.51 / $5,408.51 / $5,408.51	Facility		$5,408.51	$5,408.51	$5,408.51
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $8,187.23 / $8,187.23 / $14,132.56	Facility	50	$8,187.23	$8,187.23	$14,132.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $306.08 / $555.00 / $13,296.25	Facility		$306.08	$555.00	$13,296.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $254.34 / $2,234.17 / $6,522.36	Professional		$254.34	$2,234.17	$6,522.36
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 $1,539.46 / $2,387.23 / $5,930.76	Professional		$1,539.46	$2,387.23	$5,930.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $193.52 / $193.52 / $418.37	Facility		$193.52	$193.52	$418.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $565.10 / $2,138.77 / $3,039.05	Professional		$565.10	$2,138.77	$3,039.05