Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $411.46 / $4,029.00 / $9,661.00	Facility		$411.46	$4,029.00	$9,661.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,531.23 / $9,531.23 / $9,531.23	Facility	50	$9,531.23	$9,531.23	$9,531.23
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $128.79 / $189.32 / $267.45	Facility	52	$128.79	$189.32	$267.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.51 / $75.73 / $106.98	Facility	53	$51.51	$75.73	$106.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $373.88 / $749.42	Professional		$309.07	$373.88	$749.42
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 $243.22 / $317.94 / $738.28	Professional		$243.22	$317.94	$738.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $424.01 / $1,990.00 / $8,917.50	Facility		$424.01	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $424.01 / $424.01 / $424.01	Professional		$424.01	$424.01	$424.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $342.11 / $342.11 / $5,246.94	Facility		$342.11	$342.11	$5,246.94
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $266.33 / $266.33 / $266.33	Facility	52	$266.33	$266.33	$266.33
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $66.59 / $66.59 / $66.59	Facility	53	$66.59	$66.59	$66.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.68 / $523.49 / $1,167.16	Professional		$283.68	$523.49	$1,167.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $314.20 / $510.26 / $844.80	Facility		$314.20	$510.26	$844.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $340.17 / $406.68 / $608.62	Professional		$340.17	$406.68	$608.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $246.37 / $329.03 / $541.91	Professional		$246.37	$329.03	$541.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,434.15 / $4,535.22 / $6,970.51	Facility		$2,434.15	$4,535.22	$6,970.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $342.11 / $597.00 / $8,498.00	Facility		$342.11	$597.00	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $266.33 / $266.33 / $266.33	Facility	52	$266.33	$266.33	$266.33
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $66.59 / $66.59 / $66.59	Facility	53	$66.59	$66.59	$66.59
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $513.20 / $1,103.34	Professional		$312.95	$513.20	$1,103.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $365.26 / $836.08	Professional		$257.35	$365.26	$836.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $387.09 / $387.09 / $1,093.10	Facility		$387.09	$387.09	$1,093.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $246.78 / $372.74 / $632.25	Professional		$246.78	$372.74	$632.25