Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.50 / $3,621.00 / $9,038.00	Facility		$486.50	$3,621.00	$9,038.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,517.90 / $10,517.90 / $10,517.90	Facility	50	$10,517.90	$10,517.90	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $320.74 / $445.19 / $820.42	Professional		$320.74	$445.19	$820.42
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 $356.52 / $452.05 / $1,065.29	Professional		$356.52	$452.05	$1,065.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $513.27 / $1,990.00 / $8,917.50	Facility		$513.27	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $513.27 / $513.27 / $665.10	Professional		$513.27	$513.27	$665.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.16 / $608.16 / $1,424.38	Facility		$608.16	$608.16	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.16 / $552.88 / $1,204.46	Professional		$316.16	$552.88	$1,204.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $386.30 / $934.81	Facility		$300.00	$386.30	$934.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $514.65 / $624.83 / $979.38	Professional		$514.65	$624.83	$979.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $243.98 / $430.92 / $985.66	Professional		$243.98	$430.92	$985.66
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $575.80 / $575.80 / $575.80	Professional		$575.80	$575.80	$575.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $608.16 / $74,999.25	Facility		$555.00	$608.16	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $365.30 / $565.60 / $1,213.75	Professional		$365.30	$565.60	$1,213.75
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 $396.41 / $527.65 / $1,167.38	Professional		$396.41	$527.65	$1,167.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $499.20 / $499.20 / $1,000.40	Facility		$499.20	$499.20	$1,000.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $243.98 / $539.94 / $1,124.68	Professional		$243.98	$539.94	$1,124.68