Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,073.80 / $11,748.98	Facility		$851.14	$4,073.80	$11,748.98
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,248.07 / $7,413.10 / $14,454.40	Facility	50	$5,248.07	$7,413.10	$14,454.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $794.33 / $1,905.46	Professional		$562.34	$794.33	$1,905.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $794.33 / $1,023.29 / $2,818.38	Professional	50	$794.33	$1,023.29	$2,818.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,862.09	Professional		$602.56	$776.25	$1,862.09
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $912.01 / $1,148.15 / $2,754.23	Professional	50	$912.01	$1,148.15	$2,754.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $831.76 / $2,398.83 / $10,964.78	Facility		$831.76	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $1,047.13	Professional		$831.76	$831.76	$1,047.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,412.54 / $50,118.72	Facility		$977.24	$1,412.54	$50,118.72
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $1,174.90 / $1,174.90 / $1,174.90	Facility	22	$1,174.90	$1,174.90	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $891.25 / $2,137.96	Professional		$489.78	$891.25	$2,137.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $707.95 / $1,949.84	Facility		$575.44	$707.95	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $1,047.13 / $1,621.81	Professional		$851.14	$1,047.13	$1,621.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,548.82	Professional		$512.86	$891.25	$1,548.82
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $11,481.54 / $11,481.54 / $11,481.54	Facility	50	$11,481.54	$11,481.54	$11,481.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $912.01	Professional		$724.44	$724.44	$912.01
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $831.76 / $1,096.48 / $1,096.48	Professional	50	$831.76	$1,096.48	$1,096.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $50,118.72 / $75,857.76	Facility		$537.03	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $912.01 / $1,513.56	Professional		$398.11	$912.01	$1,513.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,905.46 / $4,265.80 / $9,549.93	Facility		$1,905.46	$4,265.80	$9,549.93
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $707.95 / $1,548.82	Professional		$501.19	$707.95	$1,548.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $812.83 / $1,548.82	Facility		$478.63	$812.83	$1,548.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $812.83 / $2,398.83	Professional		$512.86	$812.83	$2,398.83