Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $3,621.00 / $9,038.00	Facility		$225.15	$3,621.00	$9,038.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $31.61 / $168.39 / $297.93	Facility	53	$31.61	$168.39	$297.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.87 / $372.91 / $1,595.36	Professional		$149.87	$372.91	$1,595.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $719.88 / $939.84 / $2,329.03	Professional		$719.88	$939.84	$2,329.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $216.50 / $216.50 / $3,762.00	Facility		$216.50	$216.50	$3,762.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $216.50 / $216.50 / $1,327.53	Professional		$216.50	$216.50	$1,327.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.25 / $257.25 / $10,297.11	Facility		$257.25	$257.25	$10,297.11
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.45 / $51.45 / $51.45	Facility	53	$51.45	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.64 / $601.25 / $2,660.91	Professional		$167.64	$601.25	$2,660.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $116.25 / $196.50 / $374.67	Facility		$116.25	$196.50	$374.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $849.60 / $1,095.05 / $1,638.81	Professional		$849.60	$1,095.05	$1,638.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.51 / $1,010.10 / $1,549.13	Professional		$718.51	$1,010.10	$1,549.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,710.94 / $3,152.28 / $5,103.99	Facility		$1,710.94	$3,152.28	$5,103.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.25 / $555.00 / $10,297.11	Facility		$257.25	$555.00	$10,297.11
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $51.45 / $51.45 / $51.45	Facility	53	$51.45	$51.45	$51.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $186.38 / $906.79 / $2,641.71	Professional		$186.38	$906.79	$2,641.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $813.49 / $1,217.89 / $3,038.33	Professional		$813.49	$1,217.89	$3,038.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $162.85 / $162.85 / $220.78	Facility		$162.85	$162.85	$220.78
Univera Facility/Professional Professional Modifier Low / Median / High Price $475.55 / $1,113.94 / $1,549.13	Professional		$475.55	$1,113.94	$1,549.13