Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $488.71 / $4,387.39 / $10,526.00	Facility		$488.71	$4,387.39	$10,526.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,403.64 / $5,403.64 / $5,403.64	Facility	50	$5,403.64	$5,403.64	$5,403.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.03 / $431.54 / $1,068.49	Professional		$363.03	$431.54	$1,068.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.00 / $5,160.00 / $11,809.00	Facility		$3,283.00	$5,160.00	$11,809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $255.82 / $329.67 / $872.22	Professional		$255.82	$329.67	$872.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $496.28 / $2,390.00 / $10,957.50	Facility		$496.28	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $496.28 / $496.28 / $496.28	Professional		$496.28	$496.28	$496.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $399.72 / $399.72 / $6,511.02	Facility		$399.72	$399.72	$6,511.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.79 / $611.19 / $1,365.77	Professional		$341.79	$611.19	$1,365.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $610.00 / $8,640.00	Facility		$332.00	$610.00	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $397.34 / $475.60 / $981.43	Professional		$397.34	$475.60	$981.43
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $289.30 / $426.40 / $633.17	Professional		$289.30	$426.40	$633.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.68 / $5,464.33 / $7,744.39	Facility		$3,310.68	$5,464.33	$7,744.39
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,535.22 / $4,535.22 / $4,535.22	Facility	50	$4,535.22	$4,535.22	$4,535.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $399.72 / $597.00 / $8,498.00	Facility		$399.72	$597.00	$8,498.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $373.50 / $611.19 / $1,296.35	Professional		$373.50	$611.19	$1,296.35
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 $295.36 / $432.10 / $1,218.69	Professional		$295.36	$432.10	$1,218.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $452.27 / $452.27 / $1,282.64	Facility		$452.27	$452.27	$1,282.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $289.66 / $452.27 / $738.73	Professional		$289.66	$452.27	$738.73