Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,205.58 / $5,250.00 / $11,996.00	Facility		$1,205.58	$5,250.00	$11,996.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,504.32 / $3,504.32 / $8,680.14	Facility	50	$3,504.32	$3,504.32	$8,680.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.15 / $1,012.49 / $2,209.96	Professional		$750.15	$1,012.49	$2,209.96
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 $826.96 / $1,026.95 / $2,062.25	Professional		$826.96	$1,026.95	$2,062.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,371.87 / $2,644.00 / $12,319.50	Facility		$1,371.87	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,371.87 / $1,371.87 / $1,371.87	Professional		$1,371.87	$1,371.87	$1,371.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,100.57 / $1,100.57 / $1,424.38	Facility		$1,100.57	$1,100.57	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.11 / $1,182.13 / $2,636.83	Professional		$725.11	$1,182.13	$2,636.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,114.00 / $2,479.37	Facility		$332.00	$1,114.00	$2,479.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,075.31 / $1,309.11 / $2,047.42	Professional		$1,075.31	$1,309.11	$2,047.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.88 / $902.84 / $1,814.94	Professional		$457.88	$902.84	$1,814.94
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,200.74 / $1,200.74 / $1,200.74	Professional		$1,200.74	$1,200.74	$1,200.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $1,100.57 / $74,999.25	Facility		$555.00	$1,100.57	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $788.97 / $1,195.33 / $2,473.21	Professional		$788.97	$1,195.33	$2,473.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $782.73 / $1,015.57 / $2,151.12	Professional		$782.73	$1,015.57	$2,151.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,341.21 / $1,341.21 / $2,681.07	Facility		$1,341.21	$1,341.21	$2,681.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $457.88 / $1,341.21 / $2,441.21	Professional		$457.88	$1,341.21	$2,441.21