Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $2,630.27 / $7,413.10	Facility		$363.08	$2,630.27	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,079.46 / $7,079.46 / $7,079.46	Facility	50	$7,079.46	$7,079.46	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $489.78 / $1,288.25	Professional		$263.03	$489.78	$1,288.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $645.65 / $870.96 / $2,754.23	Professional	50	$645.65	$870.96	$2,754.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $1,174.90	Professional		$208.93	$275.42	$1,174.90
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $398.11 / $1,737.80	Professional	50	$309.03	$398.11	$1,737.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $691.83 / $6,165.95	Facility		$691.83	$691.83	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $691.83 / $741.31	Professional		$691.83	$691.83	$741.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $354.81 / $50,118.72	Facility		$34.67	$354.81	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $616.60 / $1,122.02	Professional		$199.53	$616.60	$1,122.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $407.38 / $741.31	Facility		$218.78	$407.38	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $346.74 / $549.54	Professional		$281.84	$346.74	$549.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $316.23 / $512.86	Professional		$190.55	$316.23	$512.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,238.72	Facility		$2,089.30	$2,089.30	$2,238.72
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $645.65	Professional		$537.03	$645.65	$645.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $50,118.72 / $75,857.76	Facility		$457.09	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $616.60 / $776.25	Professional		$398.11	$616.60	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $3,162.28 / $6,165.95	Facility		$1,288.25	$3,162.28	$6,165.95
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $524.81 / $1,096.48	Professional		$257.04	$524.81	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $295.12 / $1,348.96	Facility		$173.78	$295.12	$1,348.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $309.03 / $1,318.26	Professional		$190.55	$309.03	$1,318.26