Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.18 / $2,884.50 / $9,704.78	Facility		$272.18	$2,884.50	$9,704.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,390.77 / $3,390.77 / $12,513.45	Facility	50	$3,390.77	$3,390.77	$12,513.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.06 / $338.08 / $678.94	Professional		$218.06	$338.08	$678.94
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.72 / $315.72 / $315.72	Professional	50	$315.72	$315.72	$315.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,123.00 / $9,074.00	Facility		$2,393.00	$4,123.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $226.15 / $295.63 / $735.44	Professional		$226.15	$295.63	$735.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $339.23 / $443.44 / $1,103.16	Professional	50	$339.23	$443.44	$1,103.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $287.42 / $1,716.00 / $6,213.00	Facility		$287.42	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $287.42 / $287.42 / $450.70	Professional		$287.42	$287.42	$450.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.09 / $342.09 / $4,612.43	Facility		$342.09	$342.09	$4,612.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.29 / $400.07 / $951.03	Professional		$174.29	$400.07	$951.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $244.13 / $535.91	Facility		$135.00	$244.13	$535.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $321.61 / $408.94 / $618.20	Professional		$321.61	$408.94	$618.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $299.85 / $535.44	Professional		$200.65	$299.85	$535.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,690.74 / $2,138.88 / $9,072.87	Facility		$1,690.74	$2,138.88	$9,072.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.73 / $243.73 / $243.73	Professional		$243.73	$243.73	$243.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $342.09 / $4,612.43 / $74,999.25	Facility		$342.09	$4,612.43	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $218.38 / $422.51 / $976.15	Professional		$218.38	$422.51	$976.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,066.00 / $3,670.00 / $7,203.00	Facility		$2,066.00	$3,670.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $308.52 / $401.27 / $998.95	Professional		$308.52	$401.27	$998.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $257.45 / $257.45 / $727.03	Facility		$257.45	$257.45	$727.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $200.65 / $439.12 / $619.47	Professional		$200.65	$439.12	$619.47