Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $279.37 / $3,317.00 / $9,594.00	Facility		$279.37	$3,317.00	$9,594.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,308.43 / $8,729.58 / $14,539.13	Facility	50	$1,308.43	$8,729.58	$14,539.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.71 / $480.35 / $1,402.56	Professional		$176.71	$480.35	$1,402.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $191.68 / $876.25 / $1,287.27	Professional	50	$191.68	$876.25	$1,287.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,263.00 / $5,184.00 / $11,809.00	Facility		$3,263.00	$5,184.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $703.53 / $1,020.91 / $2,037.22	Professional		$703.53	$1,020.91	$2,037.22
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,127.08 / $1,525.42 / $3,002.67	Professional	50	$1,127.08	$1,525.42	$3,002.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $242.85 / $242.85 / $8,917.50	Facility		$242.85	$242.85	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $242.85 / $242.85 / $1,270.80	Professional		$242.85	$242.85	$1,270.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $295.26 / $295.26 / $14,648.00	Facility		$295.26	$295.26	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.49 / $702.37 / $2,567.02	Professional		$171.49	$702.37	$2,567.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $190.00 / $262.94 / $445.46	Facility		$190.00	$262.94	$445.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $791.14 / $1,064.75 / $1,600.25	Professional		$791.14	$1,064.75	$1,600.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $634.91 / $815.84 / $1,410.18	Professional		$634.91	$815.84	$1,410.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $963.79 / $963.79 / $1,394.61	Professional		$963.79	$963.79	$1,394.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $295.26 / $555.00 / $74,999.25	Facility		$295.26	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $200.24 / $907.93 / $2,627.90	Professional		$200.24	$907.93	$2,627.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $790.47 / $1,099.65 / $2,718.94	Professional		$790.47	$1,099.65	$2,718.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $215.46 / $215.46 / $684.81	Facility		$215.46	$215.46	$684.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $430.50 / $929.07 / $1,508.72	Professional		$430.50	$929.07	$1,508.72