Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $3,890.45 / $11,481.54	Facility		$489.78	$3,890.45	$11,481.54
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,238.72 / $7,244.36 / $10,471.29	Facility	50	$2,238.72	$7,244.36	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $954.99 / $2,754.23	Professional		$309.03	$954.99	$2,754.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $338.84 / $891.25 / $3,548.13	Professional	50	$338.84	$891.25	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,073.80 / $7,762.47 / $13,803.84	Facility		$4,073.80	$7,762.47	$13,803.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $1,659.59 / $3,388.44	Professional		$1,412.54	$1,659.59	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $2,137.96 / $2,511.89 / $5,128.61	Professional	50	$2,137.96	$2,511.89	$5,128.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $12,302.69	Facility		$446.68	$446.68	$12,302.69
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $2,398.83	Professional		$446.68	$446.68	$2,398.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $562.34 / $7,413.10	Facility		$34.67	$562.34	$7,413.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $1,445.44 / $4,677.35	Professional		$346.74	$1,445.44	$4,677.35
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $478.63 / $1,174.90	Facility		$363.08	$478.63	$1,174.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,041.74 / $3,019.95 / $3,981.07	Professional		$2,041.74	$3,019.95	$3,981.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,148.15 / $2,290.87 / $3,801.89	Professional		$1,148.15	$2,290.87	$3,801.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $7,413.10 / $14,454.40	Facility		$5,754.40	$7,413.10	$14,454.40
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $5,754.40 / $12,302.69	Facility	50	$4,365.16	$5,754.40	$12,302.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $6,606.93 / $50,118.72	Facility		$354.81	$6,606.93	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,862.09 / $2,187.76 / $4,265.80	Professional		$1,862.09	$2,187.76	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $6,456.54 / $16,218.10	Facility		$2,511.89	$6,456.54	$16,218.10
United Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $1,412.54 / $3,090.30	Professional		$331.13	$1,412.54	$3,090.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $407.38 / $645.65	Facility		$257.04	$407.38	$645.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $1,905.46 / $3,467.37	Professional		$676.08	$1,905.46	$3,467.37