Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.15 / $3,923.40 / $10,024.00	Facility		$577.15	$3,923.40	$10,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,766.67 / $19,102.87 / $22,059.31	Facility	50	$12,766.67	$19,102.87	$22,059.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $442.00 / $707.46 / $1,348.45	Professional		$442.00	$707.46	$1,348.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $809.82 / $1,103.73 / $1,361.49	Professional	50	$809.82	$1,103.73	$1,361.49
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 $472.53 / $618.08 / $1,473.78	Professional		$472.53	$618.08	$1,473.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $708.79 / $927.12 / $2,186.53	Professional	50	$708.79	$927.12	$2,186.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $462.51 / $462.51 / $8,917.50	Facility		$462.51	$462.51	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $462.51 / $462.51 / $725.11	Professional		$462.51	$462.51	$725.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $559.42 / $559.42 / $5,246.94	Facility		$559.42	$559.42	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $412.97 / $804.21 / $1,685.64	Professional		$412.97	$804.21	$1,685.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $579.72 / $1,075.20	Facility		$319.00	$579.72	$1,075.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.12 / $649.37 / $988.25	Professional		$514.12	$649.37	$988.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $366.34 / $647.95 / $791.11	Professional		$366.34	$647.95	$791.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,471.01 / $5,185.84 / $6,229.78	Facility		$1,471.01	$5,185.84	$6,229.78
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $7,766.50 / $7,766.50 / $10,329.60	Facility	50	$7,766.50	$7,766.50	$10,329.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $423.57 / $795.76 / $1,181.61	Professional		$423.57	$795.76	$1,181.61
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $642.35 / $642.35 / $1,141.60	Professional	50	$642.35	$642.35	$1,141.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.56 / $819.59 / $1,768.51	Professional		$423.56	$819.59	$1,768.51
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 $490.38 / $678.91 / $1,542.90	Professional		$490.38	$678.91	$1,542.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $411.48 / $411.48 / $2,089.14	Facility		$411.48	$411.48	$2,089.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $366.34 / $697.29 / $979.07	Professional		$366.34	$697.29	$979.07