Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.51 / $2,842.00 / $10,686.00	Facility		$277.51	$2,842.00	$10,686.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $4,306.05 / $4,306.05 / $4,306.05	Facility	52	$4,306.05	$4,306.05	$4,306.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $544.65 / $1,449.59	Professional		$207.96	$544.65	$1,449.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.30 / $1,120.78 / $2,028.78	Professional		$469.30	$1,120.78	$2,028.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $286.30 / $1,254.00 / $4,050.00	Facility		$286.30	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $286.30 / $286.30 / $1,303.75	Professional		$286.30	$286.30	$1,303.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $343.38 / $3,479.91	Facility		$343.38	$343.38	$3,479.91
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.10 / $673.14 / $2,126.23	Professional		$223.10	$673.14	$2,126.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $225.62 / $310.23 / $541.20	Facility		$225.62	$310.23	$541.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.18 / $1,083.27 / $1,599.70	Professional		$828.18	$1,083.27	$1,599.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $482.13 / $482.13 / $737.19	Facility		$482.13	$482.13	$737.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.62 / $1,033.92 / $1,507.44	Professional		$704.62	$1,033.92	$1,507.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,660.90 / $2,502.78 / $6,124.36	Facility		$1,660.90	$2,502.78	$6,124.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $343.38 / $555.00 / $3,479.91	Facility		$343.38	$555.00	$3,479.91
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $274.70 / $274.70 / $274.70	Facility	52	$274.70	$274.70	$274.70
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $68.68 / $68.68 / $68.68	Facility	53	$68.68	$68.68	$68.68
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $1,085.72 / $2,386.08	Professional		$251.87	$1,085.72	$2,386.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $756.32 / $1,100.63 / $2,383.12	Professional		$756.32	$1,100.63	$2,383.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $238.80 / $238.80 / $787.08	Facility		$238.80	$238.80	$787.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $630.99 / $1,033.92 / $1,568.68	Professional		$630.99	$1,033.92	$1,568.68