Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $4,545.00 / $10,686.00	Facility		$734.14	$4,545.00	$10,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,413.26 / $9,540.00 / $14,539.13	Facility	50	$5,413.26	$9,540.00	$14,539.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $487.71 / $666.49 / $1,378.65	Professional		$487.71	$666.49	$1,378.65
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 $436.92 / $571.15 / $1,302.15	Professional		$436.92	$571.15	$1,302.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $781.97 / $1,990.00 / $8,917.50	Facility		$781.97	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $781.97 / $781.97 / $781.97	Professional		$781.97	$781.97	$781.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.97 / $619.97 / $1,424.38	Facility		$619.97	$619.97	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.46 / $674.65 / $1,566.20	Professional		$451.46	$674.65	$1,566.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $584.10 / $1,411.13	Facility		$332.00	$584.10	$1,411.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $612.76 / $752.39 / $1,167.92	Professional		$612.76	$752.39	$1,167.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.42 / $527.03 / $1,124.68	Professional		$278.42	$527.03	$1,124.68
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $676.98 / $676.98 / $676.98	Professional		$676.98	$676.98	$676.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $619.97 / $74,999.25	Facility		$555.00	$619.97	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $463.07 / $707.91 / $1,700.93	Professional		$463.07	$707.91	$1,700.93
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 $452.03 / $625.22 / $1,385.48	Professional		$452.03	$625.22	$1,385.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $757.82 / $757.82 / $1,455.94	Facility		$757.82	$757.82	$1,455.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $278.42 / $757.82 / $1,409.08	Professional		$278.42	$757.82	$1,409.08