Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $2,754.23 / $7,762.47	Facility		$151.36	$2,754.23	$7,762.47
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,819.70 / $4,677.35 / $19,498.45	Facility	50	$1,819.70	$4,677.35	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $457.09 / $1,479.11	Professional		$102.33	$457.09	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.18 / $316.23 / $3,388.44	Professional	50	$162.18	$316.23	$3,388.44
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 $380.19 / $478.63 / $1,318.26	Professional		$380.19	$478.63	$1,318.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $562.34 / $724.44 / $1,995.26	Professional	50	$562.34	$724.44	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $1,258.93 / $4,073.80	Facility		$138.04	$1,258.93	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $870.96	Professional		$138.04	$138.04	$870.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $165.96 / $50,118.72	Facility		$34.67	$165.96	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $524.81 / $1,949.84	Professional		$117.49	$524.81	$1,949.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $125.89 / $331.13	Facility		$95.50	$125.89	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $794.33 / $1,148.15	Professional		$602.56	$794.33	$1,148.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $758.58 / $1,445.44	Professional		$407.38	$758.58	$1,445.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $4,677.35 / $7,762.47	Facility		$2,137.96	$4,677.35	$7,762.47
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,691.53 / $6,025.60 / $11,481.54	Facility	50	$2,691.53	$6,025.60	$11,481.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $50,118.72 / $75,857.76	Facility		$120.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $776.25 / $1,513.56	Professional		$660.69	$776.25	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $3,467.37 / $6,165.95	Facility		$1,698.24	$3,467.37	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $407.38 / $1,122.02	Professional		$87.10	$407.38	$1,122.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $125.89 / $263.03	Facility		$79.43	$125.89	$263.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $575.44 / $1,174.90	Professional		$251.19	$575.44	$1,174.90