Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.98 / $3,235.18 / $9,661.00	Facility		$127.98	$3,235.18	$9,661.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,700.68 / $6,413.36 / $10,517.90	Facility	50	$4,700.68	$6,413.36	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.87 / $127.99 / $294.50	Professional		$68.87	$127.99	$294.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.80 / $186.24 / $330.85	Professional		$146.80	$186.24	$330.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $1,254.00 / $4,050.00	Facility		$97.89	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $97.89 / $97.89 / $173.81	Professional		$97.89	$97.89	$173.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $145.08 / $3,479.91	Facility		$145.08	$145.08	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $174.35 / $397.55	Professional		$81.19	$174.35	$397.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.74 / $152.94 / $332.00	Facility		$95.74	$152.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $176.98 / $231.41 / $346.31	Professional		$176.98	$231.41	$346.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $161.72 / $348.51	Professional		$119.93	$161.72	$348.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,075.28 / $1,701.46 / $4,803.60	Facility		$1,075.28	$1,701.46	$4,803.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.53 / $148.53 / $148.53	Professional		$148.53	$148.53	$148.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $145.08 / $555.00 / $3,479.91	Facility		$145.08	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $184.02 / $415.93	Professional		$98.33	$184.02	$415.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.60 / $174.70 / $361.02	Professional		$114.60	$174.70	$361.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.05 / $91.05 / $258.63	Facility		$91.05	$91.05	$258.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $119.93 / $215.96 / $348.51	Professional		$119.93	$215.96	$348.51