Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $461.31 / $3,419.00 / $8,976.50	Facility		$461.31	$3,419.00	$8,976.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,298.74 / $10,277.82 / $10,971.64	Facility	50	$3,298.74	$10,277.82	$10,971.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $360.99 / $590.16 / $1,174.69	Professional		$360.99	$590.16	$1,174.69
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $351.86 / $351.86 / $1,080.71	Professional	50	$351.86	$351.86	$1,080.71
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $180.50 / $291.88 / $533.64	Professional	52	$180.50	$291.88	$533.64
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 $401.69 / $528.82 / $1,236.54	Professional		$401.69	$528.82	$1,236.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $602.53 / $793.23 / $1,841.41	Professional	50	$602.53	$793.23	$1,841.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $378.01 / $378.01 / $8,917.50	Facility		$378.01	$378.01	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $378.01 / $378.01 / $623.41	Professional		$378.01	$378.01	$623.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.92 / $452.92 / $5,246.94	Facility		$452.92	$452.92	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $653.44 / $1,449.47	Professional		$322.99	$653.44	$1,449.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $281.10 / $468.93 / $806.40	Facility		$281.10	$468.93	$806.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $432.62 / $547.62 / $831.59	Professional		$432.62	$547.62	$831.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $303.23 / $545.57 / $667.16	Professional		$303.23	$545.57	$667.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,655.94 / $5,588.84 / $6,229.78	Facility		$1,655.94	$5,588.84	$6,229.78
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,218.53 / $4,218.53 / $6,315.95	Facility	50	$4,218.53	$4,218.53	$6,315.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.01 / $872.07 / $1,006.79	Professional		$350.01	$872.07	$1,006.79
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $810.78 / $810.78 / $810.78	Professional	50	$810.78	$810.78	$810.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $452.92 / $597.00 / $74,999.25	Facility		$452.92	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $361.66 / $681.11 / $1,449.47	Professional		$361.66	$681.11	$1,449.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,406.00 / $4,893.00 / $10,046.00	Facility		$2,406.00	$4,893.00	$10,046.00
United Facility/Professional Professional Modifier Low / Median / High Price $432.62 / $570.86 / $1,384.97	Professional		$432.62	$570.86	$1,384.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $335.64 / $335.64 / $1,714.67	Facility		$335.64	$335.64	$1,714.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $303.23 / $588.04 / $832.28	Professional		$303.23	$588.04	$832.28