Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $3,981.07 / $11,220.18	Facility		$588.84	$3,981.07	$11,220.18
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,677.35 / $9,120.11 / $10,471.29	Facility	50	$4,677.35	$9,120.11	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $1,230.27	Professional		$407.38	$588.84	$1,230.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $77.62 / $616.60 / $2,238.72	Professional	50	$77.62	$616.60	$2,238.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,000.00	Facility		$2,630.27	$4,786.30	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $1,258.93	Professional		$380.19	$501.19	$1,258.93
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.44 / $724.44 / $1,905.46	Professional	50	$575.44	$724.44	$1,905.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $2,398.83 / $10,964.78	Facility		$602.56	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $758.58	Professional		$602.56	$602.56	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,412.54 / $50,118.72	Facility		$707.95	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $645.65 / $1,548.82	Professional		$363.08	$645.65	$1,548.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $549.54 / $1,445.44	Facility		$436.52	$549.54	$1,445.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $758.58 / $1,174.90	Professional		$630.96	$758.58	$1,174.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $645.65 / $1,148.15	Professional		$371.54	$645.65	$1,148.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $524.81	Professional		$398.11	$398.11	$524.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $50,118.72 / $75,857.76	Facility		$524.81	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $630.96 / $1,096.48	Professional		$398.11	$630.96	$1,096.48
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 $371.54 / $512.86 / $1,096.48	Professional		$371.54	$512.86	$1,096.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $588.84 / $1,380.38	Facility		$346.74	$588.84	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $588.84 / $1,737.80	Professional		$371.54	$588.84	$1,737.80