Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.09 / $4,272.28 / $9,868.00	Facility		$378.09	$4,272.28	$9,868.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $132.80 / $200.02 / $928.99	Facility	52	$132.80	$200.02	$928.99
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $53.12 / $80.01 / $371.59	Facility	53	$53.12	$80.01	$371.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.72 / $427.02 / $2,113.92	Professional		$234.72	$427.02	$2,113.92
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $39.86 / $81.14 / $404.28	Professional	53	$39.86	$81.14	$404.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,448.00 / $4,832.00 / $21,263.00	Facility		$2,448.00	$4,832.00	$21,263.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $613.91 / $1,141.08 / $2,451.51	Professional		$613.91	$1,141.08	$2,451.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $326.50 / $1,990.00 / $8,917.50	Facility		$326.50	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $326.50 / $326.50 / $2,049.62	Professional		$326.50	$326.50	$2,049.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.29 / $17,446.00 / $21,019.00	Facility		$394.29	$17,446.00	$21,019.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $315.43 / $315.43 / $315.43	Facility	52	$315.43	$315.43	$315.43
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $78.86 / $78.86 / $78.86	Facility	53	$78.86	$78.86	$78.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.48 / $801.07 / $3,676.77	Professional		$274.48	$801.07	$3,676.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $250.00 / $454.75 / $8,640.00	Facility		$250.00	$454.75	$8,640.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,078.03 / $1,617.57 / $2,490.08	Professional		$1,078.03	$1,617.57	$2,490.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $1,491.75 / $2,390.04	Professional		$278.43	$1,491.75	$2,390.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,736.34 / $5,130.21 / $7,311.17	Facility		$2,736.34	$5,130.21	$7,311.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $552.20 / $552.20 / $552.20	Professional		$552.20	$552.20	$552.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $394.29 / $8,147.00 / $21,019.00	Facility		$394.29	$8,147.00	$21,019.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $315.43 / $315.43 / $315.43	Facility	52	$315.43	$315.43	$315.43
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $78.86 / $78.86 / $78.86	Facility	53	$78.86	$78.86	$78.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $297.69 / $1,081.99 / $3,626.32	Professional		$297.69	$1,081.99	$3,626.32
MVP Health Care Facility/Professional Professional Modifier 53 Low / Median / High Price $697.07 / $898.71 / $1,227.98	Professional	53	$697.07	$898.71	$1,227.98
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,908.00 / $12,328.00	Facility		$2,031.00	$4,908.00	$12,328.00
United Facility/Professional Professional Modifier Low / Median / High Price $519.85 / $1,728.34 / $3,508.10	Professional		$519.85	$1,728.34	$3,508.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $263.12 / $263.12 / $961.62	Facility		$263.12	$263.12	$961.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.43 / $1,491.75 / $2,390.04	Professional		$278.43	$1,491.75	$2,390.04