Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $349.42 / $3,689.96 / $9,144.00	Facility		$349.42	$3,689.96	$9,144.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $116.44 / $419.77 / $1,006.95	Facility	52	$116.44	$419.77	$1,006.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.69 / $594.54 / $2,025.36	Professional		$213.69	$594.54	$2,025.36
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 $642.54 / $854.46 / $2,449.73	Professional		$642.54	$854.46	$2,449.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $314.68 / $314.68 / $6,213.00	Facility		$314.68	$314.68	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $314.68 / $314.68 / $1,788.09	Professional		$314.68	$314.68	$1,788.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $371.81 / $13,296.25	Facility		$371.81	$371.81	$13,296.25
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $297.45 / $297.45 / $297.45	Facility	52	$297.45	$297.45	$297.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.20 / $796.21 / $2,993.03	Professional		$242.20	$796.21	$2,993.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $187.00 / $284.55 / $544.37	Facility		$187.00	$284.55	$544.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,238.88 / $1,595.75 / $2,388.13	Professional		$1,238.88	$1,595.75	$2,388.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $856.46 / $1,204.89 / $2,282.44	Professional		$856.46	$1,204.89	$2,282.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,347.12 / $6,180.62 / $12,497.60	Facility		$1,347.12	$6,180.62	$12,497.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $371.81 / $597.00 / $13,296.25	Facility		$371.81	$597.00	$13,296.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $297.45 / $297.45 / $297.45	Facility	52	$297.45	$297.45	$297.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $269.20 / $1,103.50 / $3,079.88	Professional		$269.20	$1,103.50	$3,079.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $11,010.00	Facility		$2,031.00	$4,840.00	$11,010.00
United Facility/Professional Professional Modifier Low / Median / High Price $915.01 / $1,332.18 / $3,125.23	Professional		$915.01	$1,332.18	$3,125.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $235.59 / $235.59 / $397.52	Facility		$235.59	$235.59	$397.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $687.98 / $1,245.46 / $2,282.44	Professional		$687.98	$1,245.46	$2,282.44