Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,918.31 / $19,054.61	Facility		$870.96	$6,918.31	$19,054.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,623.41 / $5,623.41 / $6,025.60	Facility	50	$5,623.41	$5,623.41	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $2,398.83	Professional		$602.56	$851.14	$2,398.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $7,413.10 / $18,197.01	Facility		$3,388.44	$7,413.10	$18,197.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $758.58 / $1,995.26	Professional		$588.84	$758.58	$1,995.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $2,398.83 / $12,882.50	Facility		$812.83	$2,398.83	$12,882.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $1,047.13	Professional		$812.83	$812.83	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $3,311.31 / $50,118.72	Facility		$977.24	$3,311.31	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $1,096.48 / $2,691.53	Professional		$588.84	$1,096.48	$2,691.53
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $933.25 / $1,995.26	Facility		$602.56	$933.25	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,047.13 / $1,584.89	Professional		$794.33	$1,047.13	$1,584.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $1,071.52 / $1,862.09	Professional		$630.96	$1,071.52	$1,862.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,041.74 / $3,630.78 / $11,481.54	Facility		$2,041.74	$3,630.78	$11,481.54
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $50,118.72 / $75,857.76	Facility		$616.60	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $977.24 / $1,584.89	Professional		$398.11	$977.24	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $2,818.38 / $7,943.28 / $15,488.17	Facility		$2,818.38	$7,943.28	$15,488.17
United Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,949.84	Professional		$489.78	$758.58	$1,949.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,949.84	Facility		$467.74	$741.31	$1,949.84
Univera Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $954.99 / $1,995.26	Professional		$602.56	$954.99	$1,995.26