Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.36 / $3,030.17 / $8,010.66	Facility		$241.36	$3,030.17	$8,010.66
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $36.67 / $53.92 / $100.84	Facility	53	$36.67	$53.92	$100.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.91 / $295.80 / $668.40	Professional		$168.91	$295.80	$668.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,679.00 / $21,263.00	Facility		$2,393.00	$4,679.00	$21,263.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.79 / $323.60 / $773.94	Professional		$254.79	$323.60	$773.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $214.54 / $1,254.00 / $4,050.00	Facility		$214.54	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $214.54 / $214.54 / $510.08	Professional		$214.54	$214.54	$510.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $258.94 / $258.94 / $3,479.91	Facility		$258.94	$258.94	$3,479.91
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $51.79 / $51.79 / $51.79	Facility	53	$51.79	$51.79	$51.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $387.50 / $976.04	Professional		$183.40	$387.50	$976.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $176.63 / $250.00 / $397.42	Facility		$176.63	$250.00	$397.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $354.59 / $472.79 / $884.84	Professional		$354.59	$472.79	$884.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $348.59 / $656.57	Professional		$212.40	$348.59	$656.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,441.46 / $4,446.53 / $7,756.00	Facility		$1,441.46	$4,446.53	$7,756.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $258.94 / $597.00 / $8,498.00	Facility		$258.94	$597.00	$8,498.00
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $51.79 / $51.79 / $51.79	Facility	53	$51.79	$51.79	$51.79
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $216.10 / $443.93 / $1,026.10	Professional		$216.10	$443.93	$1,026.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $12,328.00	Facility		$2,031.00	$4,840.00	$12,328.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.66 / $439.05 / $910.91	Professional		$286.66	$439.05	$910.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $172.30 / $172.30 / $677.85	Facility		$172.30	$172.30	$677.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $212.40 / $383.79 / $721.15	Professional		$212.40	$383.79	$721.15