Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $551.44 / $4,043.00 / $10,965.00	Facility		$551.44	$4,043.00	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,650.00 / $9,094.00 / $10,517.90	Facility	50	$4,650.00	$9,094.00	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.75 / $564.29 / $1,079.02	Professional		$397.75	$564.29	$1,079.02
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $78.04 / $593.60 / $780.44	Professional	50	$78.04	$593.60	$780.44
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 $383.77 / $501.67 / $1,193.32	Professional		$383.77	$501.67	$1,193.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $575.66 / $752.50 / $1,786.20	Professional	50	$575.66	$752.50	$1,786.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $602.55 / $2,390.00 / $10,957.50	Facility		$602.55	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $602.55 / $602.55 / $753.44	Professional		$602.55	$602.55	$753.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.96 / $710.96 / $1,424.38	Facility		$710.96	$710.96	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $358.77 / $623.20 / $1,341.04	Professional		$358.77	$623.20	$1,341.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $510.12 / $1,092.80	Facility		$332.00	$510.12	$1,092.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $594.67 / $722.80 / $1,132.24	Professional		$594.67	$722.80	$1,132.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $262.07 / $498.48 / $1,124.68	Professional		$262.07	$498.48	$1,124.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $400.56 / $521.66 / $521.66	Professional		$400.56	$521.66	$521.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $710.96 / $74,999.25	Facility		$555.00	$710.96	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $395.00 / $650.00 / $1,385.71	Professional		$395.00	$650.00	$1,385.71
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 $442.31 / $590.80 / $1,286.31	Professional		$442.31	$590.80	$1,286.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $585.88 / $585.88 / $1,379.93	Facility		$585.88	$585.88	$1,379.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $262.07 / $735.81 / $1,220.84	Professional		$262.07	$735.81	$1,220.84