Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.58 / $4,039.00 / $10,686.00	Facility		$600.58	$4,039.00	$10,686.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,257.31 / $9,969.75 / $9,969.75	Facility	50	$5,257.31	$9,969.75	$9,969.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.93 / $577.89 / $1,339.72	Professional		$416.93	$577.89	$1,339.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $210.69 / $218.09 / $365.67	Professional	50	$210.69	$218.09	$365.67
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 $518.57 / $643.98 / $1,423.78	Professional		$518.57	$643.98	$1,423.78
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $777.86 / $986.31 / $2,141.73	Professional	50	$777.86	$986.31	$2,141.73
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $636.41 / $2,390.00 / $10,957.50	Facility		$636.41	$2,390.00	$10,957.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $636.41 / $636.41 / $890.42	Professional		$636.41	$636.41	$890.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.83 / $753.83 / $1,424.38	Facility		$753.83	$753.83	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $381.56 / $696.93 / $1,498.68	Professional		$381.56	$696.93	$1,498.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $558.00 / $1,154.50	Facility		$332.00	$558.00	$1,154.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $683.28 / $828.98 / $1,300.22	Professional		$683.28	$828.98	$1,300.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.86 / $571.71 / $1,144.88	Professional		$318.86	$571.71	$1,144.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.15 / $2,258.15 / $2,258.15	Facility		$2,258.15	$2,258.15	$2,258.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.31 / $550.98 / $823.72	Professional		$469.31	$550.98	$823.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $753.83 / $74,999.25	Facility		$555.00	$753.83	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $423.05 / $751.32 / $1,599.42	Professional		$423.05	$751.32	$1,599.42
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 $530.08 / $679.49 / $1,516.68	Professional		$530.08	$679.49	$1,516.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $618.00 / $618.00 / $1,472.74	Facility		$618.00	$618.00	$1,472.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $318.86 / $728.93 / $1,314.96	Professional		$318.86	$728.93	$1,314.96