Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.45 / $3,205.00 / $11,550.00	Facility		$323.45	$3,205.00	$11,550.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,368.84 / $6,368.84 / $6,368.84	Facility	50	$6,368.84	$6,368.84	$6,368.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $696.55 / $2,056.63	Professional		$241.91	$696.55	$2,056.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,079.00 / $7,264.00 / $12,538.00	Facility		$4,079.00	$7,264.00	$12,538.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $935.65 / $1,347.24 / $3,201.40	Professional		$935.65	$1,347.24	$3,201.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $329.32 / $329.32 / $10,957.50	Facility		$329.32	$329.32	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $329.32 / $329.32 / $1,918.76	Professional		$329.32	$329.32	$1,918.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $14,648.00	Facility		$397.55	$397.55	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.96 / $877.90 / $3,641.85	Professional		$244.96	$877.90	$3,641.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $180.00 / $282.00 / $602.51	Facility		$180.00	$282.00	$602.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,234.53 / $1,673.47 / $2,510.21	Professional		$1,234.53	$1,673.47	$2,510.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $966.88 / $1,609.64 / $2,546.65	Professional		$966.88	$1,609.64	$2,546.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $1,689.00 / $2,147.98	Facility		$1,689.00	$1,689.00	$2,147.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.20 / $1,250.73 / $1,250.73	Professional		$253.20	$1,250.73	$1,250.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $597.00	Facility		$397.55	$397.55	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $260.12 / $1,353.57 / $3,819.39	Professional		$260.12	$1,353.57	$3,819.39
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 $1,082.38 / $1,640.39 / $3,948.38	Professional		$1,082.38	$1,640.39	$3,948.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $291.58 / $291.58 / $924.28	Facility		$291.58	$291.58	$924.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $724.13 / $1,379.74 / $2,546.65	Professional		$724.13	$1,379.74	$2,546.65