Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $3,548.13 / $9,120.11	Facility		$229.09	$3,548.13	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $5,248.07 / $5,248.07	Facility	50	$5,248.07	$5,248.07	$5,248.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $309.03 / $1,000.00	Professional		$128.82	$309.03	$1,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $457.09 / $1,288.25	Professional		$371.54	$457.09	$1,288.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $1,258.93 / $4,073.80	Facility		$177.83	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $776.25	Professional		$177.83	$177.83	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,318.26 / $50,118.72	Facility		$213.80	$1,318.26	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $512.86 / $1,862.09	Professional		$147.91	$512.86	$1,862.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $229.09 / $426.58	Facility		$128.82	$229.09	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $691.83 / $1,000.00	Professional		$524.81	$691.83	$1,000.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $724.44 / $1,071.52	Professional		$346.74	$724.44	$1,071.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $2,238.72 / $5,248.07	Facility		$1,659.59	$2,238.72	$5,248.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $50,118.72 / $75,857.76	Facility		$158.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,148.15	Professional		$398.11	$707.95	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,890.45 / $8,317.64	Facility		$1,862.09	$3,890.45	$8,317.64
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $416.87 / $1,148.15	Professional		$112.20	$416.87	$1,148.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $162.18 / $524.81	Facility		$102.33	$162.18	$524.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $549.54 / $1,071.52	Professional		$316.23	$549.54	$1,071.52