Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $2,900.00 / $8,442.00	Facility		$204.82	$2,900.00	$8,442.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,756.70 / $8,756.70 / $8,756.70	Facility	50	$8,756.70	$8,756.70	$8,756.70
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $72.22 / $270.18 / $635.47	Facility	52	$72.22	$270.18	$635.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.36 / $392.44 / $1,171.45	Professional		$143.36	$392.44	$1,171.45
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 $576.14 / $731.76 / $1,707.00	Professional		$576.14	$731.76	$1,707.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $212.55 / $212.55 / $4,050.00	Facility		$212.55	$212.55	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $212.55 / $212.55 / $950.69	Professional		$212.55	$212.55	$950.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.08 / $252.08 / $3,479.91	Facility		$252.08	$252.08	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $201.66 / $201.66 / $201.66	Facility	52	$201.66	$201.66	$201.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $547.88 / $1,884.85	Professional		$167.88	$547.88	$1,884.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $219.20 / $366.89	Facility		$136.00	$219.20	$366.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.68 / $855.54 / $1,280.36	Professional		$661.68	$855.54	$1,280.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $559.88 / $789.17 / $1,207.09	Professional		$559.88	$789.17	$1,207.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,717.50 / $2,165.55 / $5,786.67	Facility		$1,717.50	$2,165.55	$5,786.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $252.08 / $555.00 / $3,479.91	Facility		$252.08	$555.00	$3,479.91
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $201.66 / $201.66 / $201.66	Facility	52	$201.66	$201.66	$201.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $192.56 / $761.57 / $2,049.39	Professional		$192.56	$761.57	$2,049.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $534.54 / $796.54 / $1,840.82	Professional		$534.54	$796.54	$1,840.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.60 / $159.60 / $321.45	Facility		$159.60	$159.60	$321.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $449.56 / $870.30 / $1,207.09	Professional		$449.56	$870.30	$1,207.09