Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.60 / $2,559.00 / $8,325.85	Facility		$63.60	$2,559.00	$8,325.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,646.15 / $5,646.15 / $13,715.81	Facility	50	$5,646.15	$5,646.15	$13,715.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $216.61 / $460.75	Professional		$47.13	$216.61	$460.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $372.08 / $372.08 / $372.08	Professional	50	$372.08	$372.08	$372.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $239.71 / $320.50 / $797.61	Professional		$239.71	$320.50	$797.61
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $368.23 / $474.40 / $1,138.20	Professional	50	$368.23	$474.40	$1,138.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $67.45 / $67.45 / $4,050.00	Facility		$67.45	$67.45	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $67.45 / $410.27	Professional		$67.45	$67.45	$410.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $14,648.00	Facility		$80.37	$80.37	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.97 / $187.04 / $736.24	Professional		$47.97	$187.04	$736.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.07 / $91.00 / $332.00	Facility		$55.07	$91.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.80 / $341.33 / $512.00	Professional		$251.80	$341.33	$512.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.08 / $314.88 / $522.04	Professional		$222.08	$314.88	$522.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,060.82 / $1,060.82 / $1,060.82	Facility		$1,060.82	$1,060.82	$1,060.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.37 / $80.37 / $597.00	Facility		$80.37	$80.37	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $297.23 / $815.22	Professional		$52.97	$297.23	$815.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,884.00 / $4,840.00	Facility		$1,079.00	$2,884.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.75 / $369.63 / $915.21	Professional		$264.75	$369.63	$915.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $59.01 / $182.58	Facility		$59.01	$59.01	$182.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $146.54 / $300.95 / $522.04	Professional		$146.54	$300.95	$522.04