Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $778.22 / $4,109.00 / $11,220.00	Facility		$778.22	$4,109.00	$11,220.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,239.22 / $9,094.00 / $16,531.65	Facility	50	$5,239.22	$9,094.00	$16,531.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $519.99 / $710.37 / $1,447.86	Professional		$519.99	$710.37	$1,447.86
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $787.82 / $854.22 / $2,410.09	Professional	50	$787.82	$854.22	$2,410.09
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 $609.24 / $772.50 / $1,702.54	Professional		$609.24	$772.50	$1,702.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $913.86 / $1,158.76 / $2,553.81	Professional	50	$913.86	$1,158.76	$2,553.81
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.70 / $2,390.00 / $10,957.50	Facility		$831.70	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.70 / $831.70 / $1,052.76	Professional		$831.70	$831.70	$1,052.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $983.65 / $983.65 / $1,424.38	Facility		$983.65	$983.65	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $492.83 / $867.20 / $1,952.58	Professional		$492.83	$867.20	$1,952.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $662.22 / $1,501.70	Facility		$332.00	$662.22	$1,501.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $811.54 / $988.47 / $1,545.12	Professional		$811.54	$988.47	$1,545.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $686.14 / $1,360.30	Professional		$388.15	$686.14	$1,360.30
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $11,610.00 / $11,610.00 / $11,610.00	Facility	50	$11,610.00	$11,610.00	$11,610.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $720.04 / $911.41 / $986.01	Professional		$720.04	$911.41	$986.01
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $827.78 / $1,080.06 / $1,091.94	Professional	50	$827.78	$1,080.06	$1,091.94
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $983.65 / $74,999.25	Facility		$555.00	$983.65	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $531.02 / $900.31 / $1,952.77	Professional		$531.02	$900.31	$1,952.77
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 $627.54 / $830.88 / $1,857.74	Professional		$627.54	$830.88	$1,857.74
Univera Facility/Professional Facility Modifier Low / Median / High Price $806.37 / $806.37 / $1,565.25	Facility		$806.37	$806.37	$1,565.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $388.15 / $1,005.24 / $1,565.25	Professional		$388.15	$1,005.24	$1,565.25