Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.01 / $4,072.50 / $10,593.00	Facility		$262.01	$4,072.50	$10,593.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $101.85 / $276.01 / $459.28	Facility	52	$101.85	$276.01	$459.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.07 / $557.45 / $958.43	Professional		$193.07	$557.45	$958.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $99.13 / $314.77 / $479.22	Professional	52	$99.13	$314.77	$479.22
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 $489.32 / $684.41 / $1,389.72	Professional		$489.32	$684.41	$1,389.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $257.17 / $257.17 / $8,917.50	Facility		$257.17	$257.17	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $257.17 / $257.17 / $905.07	Professional		$257.17	$257.17	$905.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $304.87 / $3,479.91	Facility		$304.87	$304.87	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $243.90 / $243.90 / $243.90	Facility	52	$243.90	$243.90	$243.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.79 / $502.38 / $1,376.86	Professional		$150.79	$502.38	$1,376.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.48 / $274.36 / $451.08	Facility		$200.48	$274.36	$451.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $560.52 / $762.32 / $1,140.85	Professional		$560.52	$762.32	$1,140.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.96 / $563.83 / $1,006.83	Professional		$471.96	$563.83	$1,006.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,395.74 / $7,395.74 / $7,395.74	Facility		$7,395.74	$7,395.74	$7,395.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $304.87 / $597.00 / $74,999.25	Facility		$304.87	$597.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $243.90 / $243.90 / $243.90	Facility	52	$243.90	$243.90	$243.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $213.43 / $692.05 / $1,565.91	Professional		$213.43	$692.05	$1,565.91
United Facility/Professional Facility Modifier Low / Median / High Price $2,264.00 / $5,248.00 / $11,176.00	Facility		$2,264.00	$5,248.00	$11,176.00
United Facility/Professional Professional Modifier Low / Median / High Price $579.35 / $826.44 / $1,849.97	Professional		$579.35	$826.44	$1,849.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $226.33 / $226.33 / $728.72	Facility		$226.33	$226.33	$728.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $401.17 / $663.33 / $1,164.83	Professional		$401.17	$663.33	$1,164.83