Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.12 / $3,356.00 / $8,696.40	Facility		$335.12	$3,356.00	$8,696.40
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,692.00 / $5,710.00 / $12,662.27	Facility	50	$3,692.00	$5,710.00	$12,662.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.14 / $425.72 / $1,052.32	Professional		$210.14	$425.72	$1,052.32
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $315.20 / $861.29 / $4,966.80	Professional	50	$315.20	$861.29	$4,966.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.08 / $458.21 / $1,018.99	Professional		$331.08	$458.21	$1,018.99
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $502.99 / $687.33 / $1,559.71	Professional	50	$502.99	$687.33	$1,559.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $318.08 / $1,716.00 / $6,213.00	Facility		$318.08	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $318.08 / $318.08 / $603.61	Professional		$318.08	$318.08	$603.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $326.12 / $326.12	Facility		$326.12	$326.12	$326.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.53 / $515.74 / $1,303.00	Professional		$226.53	$515.74	$1,303.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $211.00 / $297.81 / $486.83	Facility		$211.00	$297.81	$486.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $464.70 / $706.32 / $2,595.06	Professional		$464.70	$706.32	$2,595.06
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.05 / $399.05 / $399.05	Facility		$399.05	$399.05	$399.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $508.34 / $923.32	Professional		$305.66	$508.34	$923.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.82 / $2,235.90 / $5,864.84	Facility		$54.82	$2,235.90	$5,864.84
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $592.33 / $838.03 / $4,066.74	Facility	50	$592.33	$838.03	$4,066.74
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $614.74 / $614.74 / $614.74	Professional		$614.74	$614.74	$614.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $326.12 / $555.00 / $597.00	Facility		$326.12	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $209.14 / $544.60 / $1,334.00	Professional		$209.14	$544.60	$1,334.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,399.00 / $10,452.00	Facility		$1,925.00	$4,399.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $371.84 / $578.41 / $1,319.09	Professional		$371.84	$578.41	$1,319.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.17 / $224.17 / $743.33	Facility		$224.17	$224.17	$743.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.66 / $532.19 / $923.32	Professional		$305.66	$532.19	$923.32