Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.21 / $4,039.00 / $10,140.00	Facility		$656.21	$4,039.00	$10,140.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $653.46 / $3,838.69 / $19,656.49	Facility	50	$653.46	$3,838.69	$19,656.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $446.22 / $638.88 / $1,815.67	Professional		$446.22	$638.88	$1,815.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $301.45 / $414.06 / $2,063.64	Professional	50	$301.45	$414.06	$2,063.64
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 $536.60 / $670.80 / $1,505.28	Professional		$536.60	$670.80	$1,505.28
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $804.91 / $1,020.60 / $2,287.50	Professional	50	$804.91	$1,020.60	$2,287.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $707.94 / $2,390.00 / $10,957.50	Facility		$707.94	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $707.94 / $707.94 / $922.79	Professional		$707.94	$707.94	$922.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.80 / $836.80 / $1,424.38	Facility		$836.80	$836.80	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.51 / $755.25 / $1,664.92	Professional		$420.51	$755.25	$1,664.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $759.00 / $1,278.97	Facility		$332.00	$759.00	$1,278.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $716.82 / $870.94 / $1,363.74	Professional		$716.82	$870.94	$1,363.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $600.65 / $1,196.40	Professional		$347.33	$600.65	$1,196.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,554.18 / $7,554.18 / $7,554.18	Facility		$7,554.18	$7,554.18	$7,554.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,915.90 / $4,571.18 / $6,306.76	Facility	50	$3,915.90	$4,571.18	$6,306.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $468.96 / $612.89 / $798.90	Professional		$468.96	$612.89	$798.90
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $743.16 / $919.34 / $1,198.34	Professional	50	$743.16	$919.34	$1,198.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $836.80 / $74,999.25	Facility		$555.00	$836.80	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $452.03 / $786.15 / $1,755.60	Professional		$452.03	$786.15	$1,755.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $4,840.00 / $9,020.04	Facility		$1,694.00	$4,840.00	$9,020.04
United Facility/Professional Professional Modifier Low / Median / High Price $558.04 / $728.59 / $1,623.14	Professional		$558.04	$728.59	$1,623.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $684.35 / $684.35 / $1,514.26	Facility		$684.35	$684.35	$1,514.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $347.33 / $884.12 / $1,408.33	Professional		$347.33	$884.12	$1,408.33