Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $481.65 / $5,298.00 / $24,654.81	Facility		$481.65	$5,298.00	$24,654.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.92 / $1,574.93 / $6,815.51	Professional		$324.92	$1,574.93	$6,815.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,253.28 / $2,253.28 / $2,253.28	Professional	50	$2,253.28	$2,253.28	$2,253.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,989.00 / $9,750.00 / $16,411.00	Facility		$4,989.00	$9,750.00	$16,411.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,939.60 / $3,980.70 / $9,046.39	Professional		$2,939.60	$3,980.70	$9,046.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $4,409.39 / $5,951.62 / $13,482.69	Professional	50	$4,409.39	$5,951.62	$13,482.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.08 / $1,716.00 / $13,477.50	Facility		$428.08	$1,716.00	$13,477.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.08 / $428.08 / $5,443.70	Professional		$428.08	$428.08	$5,443.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.48 / $515.48 / $7,227.90	Facility		$515.48	$515.48	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.94 / $1,077.20 / $8,992.24	Professional		$310.94	$1,077.20	$8,992.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $315.76 / $407.00 / $785.99	Facility		$315.76	$407.00	$785.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,294.18 / $4,210.47 / $6,513.66	Professional		$3,294.18	$4,210.47	$6,513.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,978.66 / $3,619.10 / $5,804.93	Professional		$2,978.66	$3,619.10	$5,804.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,324.38 / $4,632.13 / $19,012.05	Facility		$3,324.38	$4,632.13	$19,012.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $711.54 / $4,128.59 / $5,974.09	Professional		$711.54	$4,128.59	$5,974.09
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $515.48 / $597.00 / $74,999.25	Facility		$515.48	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $374.85 / $3,430.82 / $9,364.95	Professional		$374.85	$3,430.82	$9,364.95
United Facility/Professional Facility Modifier Low / Median / High Price $2,705.00 / $7,719.00 / $33,928.00	Facility		$2,705.00	$7,719.00	$33,928.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,200.59 / $4,387.72 / $9,809.60	Professional		$3,200.59	$4,387.72	$9,809.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $377.72 / $377.72 / $673.19	Facility		$377.72	$377.72	$673.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $673.19 / $3,619.10 / $6,210.57	Professional		$673.19	$3,619.10	$6,210.57