Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.26 / $2,920.00 / $8,442.00	Facility		$265.26	$2,920.00	$8,442.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,474.09 / $4,474.09 / $4,474.09	Facility	50	$4,474.09	$4,474.09	$4,474.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.35 / $477.07 / $1,079.77	Professional		$189.35	$477.07	$1,079.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,668.15 / $1,668.15 / $1,668.15	Professional	50	$1,668.15	$1,668.15	$1,668.15
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 $384.58 / $496.07 / $1,278.55	Professional		$384.58	$496.07	$1,278.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $576.88 / $744.11 / $1,931.85	Professional	50	$576.88	$744.11	$1,931.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $251.16 / $1,716.00 / $6,213.00	Facility		$251.16	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $251.16 / $251.16 / $759.64	Professional		$251.16	$251.16	$759.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $306.42 / $10,297.11	Facility		$306.42	$306.42	$10,297.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.95 / $606.40 / $1,645.22	Professional		$211.95	$606.40	$1,645.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $156.44 / $250.00 / $467.44	Facility		$156.44	$250.00	$467.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $531.77 / $683.73 / $1,023.24	Professional		$531.77	$683.73	$1,023.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $488.95 / $956.70	Professional		$423.54	$488.95	$956.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.85 / $4,574.85 / $5,936.88	Facility		$4,574.85	$4,574.85	$5,936.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $306.42 / $597.00 / $10,297.11	Facility		$306.42	$597.00	$10,297.11
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $253.28 / $653.12 / $1,581.46	Professional		$253.28	$653.12	$1,581.46
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 $438.36 / $635.13 / $1,554.28	Professional		$438.36	$635.13	$1,554.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $194.85 / $194.85 / $267.87	Facility		$194.85	$194.85	$267.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $423.54 / $563.59 / $956.70	Professional		$423.54	$563.59	$956.70