Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.14 / $3,659.00 / $11,996.00	Facility		$443.14	$3,659.00	$11,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,318.90 / $9,318.90 / $13,110.68	Facility	50	$9,318.90	$9,318.90	$13,110.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $345.54 / $735.66 / $1,575.57	Professional		$345.54	$735.66	$1,575.57
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $634.12 / $1,312.53 / $1,629.79	Professional	50	$634.12	$1,312.53	$1,629.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,977.00 / $9,901.00 / $35,881.00	Facility		$4,977.00	$9,901.00	$35,881.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.00 / $802.92 / $1,923.39	Professional		$571.00	$802.92	$1,923.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $849.92 / $1,204.38 / $2,899.03	Professional	50	$849.92	$1,204.38	$2,899.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $428.73 / $1,990.00 / $8,917.50	Facility		$428.73	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $428.73 / $428.73 / $1,095.26	Professional		$428.73	$428.73	$1,095.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $515.84 / $515.84	Facility		$515.84	$515.84	$515.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.97 / $918.00 / $2,423.17	Professional		$354.97	$918.00	$2,423.17
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $318.44 / $431.00 / $777.69	Facility		$318.44	$431.00	$777.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $774.85 / $1,081.54 / $1,746.56	Professional		$774.85	$1,081.54	$1,746.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $661.14 / $661.14 / $661.14	Facility		$661.14	$661.14	$661.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $612.85 / $910.39 / $1,541.02	Professional		$612.85	$910.39	$1,541.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,013.94 / $6,841.31 / $12,184.94	Facility		$2,013.94	$6,841.31	$12,184.94
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $6,703.25 / $6,703.25 / $7,073.78	Facility	50	$6,703.25	$6,703.25	$7,073.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $555.00 / $49,110.00	Facility		$515.84	$555.00	$49,110.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $380.53 / $979.74 / $2,517.09	Professional		$380.53	$979.74	$2,517.09
United Facility/Professional Facility Modifier Low / Median / High Price $2,341.00 / $6,762.00 / $16,961.00	Facility		$2,341.00	$6,762.00	$16,961.00
United Facility/Professional Professional Modifier Low / Median / High Price $694.20 / $1,027.63 / $2,398.91	Professional		$694.20	$1,027.63	$2,398.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $352.17 / $352.17 / $1,708.62	Facility		$352.17	$352.17	$1,708.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $661.14 / $921.36 / $1,541.02	Professional		$661.14	$921.36	$1,541.02