Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.52 / $2,884.50 / $7,185.00	Facility		$272.52	$2,884.50	$7,185.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $92.85 / $178.96 / $305.36	Facility	52	$92.85	$178.96	$305.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.49 / $363.29 / $708.99	Professional		$168.49	$363.29	$708.99
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 $278.00 / $363.41 / $922.55	Professional		$278.00	$363.41	$922.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $249.33 / $1,716.00 / $6,213.00	Facility		$249.33	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $249.33 / $249.33 / $539.14	Professional		$249.33	$249.33	$539.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $295.43 / $4,612.43	Facility		$295.43	$295.43	$4,612.43
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $236.34 / $236.34 / $236.34	Facility	52	$236.34	$236.34	$236.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.81 / $427.57 / $1,118.65	Professional		$178.81	$427.57	$1,118.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $191.07 / $280.00 / $429.91	Facility		$191.07	$280.00	$429.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $494.26 / $739.69	Professional		$375.62	$494.26	$739.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.52 / $401.25 / $688.22	Professional		$316.52	$401.25	$688.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $732.00 / $4,903.66 / $20,470.25	Facility		$732.00	$4,903.66	$20,470.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.43 / $597.00 / $8,498.00	Facility		$295.43	$597.00	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $236.34 / $236.34 / $236.34	Facility	52	$236.34	$236.34	$236.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.71 / $488.59 / $1,141.34	Professional		$209.71	$488.59	$1,141.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $11,010.00	Facility		$1,768.00	$4,176.00	$11,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $309.64 / $468.98 / $1,192.05	Professional		$309.64	$468.98	$1,192.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $188.30 / $188.30 / $690.23	Facility		$188.30	$188.30	$690.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $256.31 / $442.39 / $744.21	Professional		$256.31	$442.39	$744.21