Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.43 / $2,660.00 / $7,307.00	Facility		$179.43	$2,660.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,204.04 / $5,248.50 / $5,274.72	Facility	50	$4,204.04	$5,248.50	$5,274.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.15 / $259.31 / $647.78	Professional		$120.15	$259.31	$647.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $171.84 / $171.84 / $1,702.12	Professional	50	$171.84	$171.84	$1,702.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.99 / $212.09 / $595.23	Professional		$166.99	$212.09	$595.23
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.83 / $318.14 / $883.72	Professional	50	$251.83	$318.14	$883.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $185.41 / $1,254.00 / $4,050.00	Facility		$185.41	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $185.41 / $185.41 / $379.25	Professional		$185.41	$185.41	$379.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $221.83 / $221.83	Facility		$221.83	$221.83	$221.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.79 / $312.99 / $815.76	Professional		$135.79	$312.99	$815.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $136.90 / $224.43 / $378.87	Facility		$136.90	$224.43	$378.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.80 / $397.66 / $583.34	Professional		$285.80	$397.66	$583.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $245.42 / $245.42 / $245.42	Facility		$245.42	$245.42	$245.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $216.29 / $308.91 / $561.09	Professional		$216.29	$308.91	$561.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,339.29 / $2,339.29 / $2,992.00	Facility		$2,339.29	$2,339.29	$2,992.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $4,862.39 / $4,862.39 / $4,862.39	Facility	50	$4,862.39	$4,862.39	$4,862.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $221.83 / $555.00 / $597.00	Facility		$221.83	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $154.52 / $332.25 / $843.62	Professional		$154.52	$332.25	$843.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.31 / $351.67 / $794.87	Professional		$230.31	$351.67	$794.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $152.06 / $577.27	Facility		$152.06	$152.06	$577.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $245.42 / $330.96 / $561.09	Professional		$245.42	$330.96	$561.09