Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.71 / $3,599.00 / $10,024.00	Facility		$407.71	$3,599.00	$10,024.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.54 / $409.18 / $822.16	Professional		$252.54	$409.18	$822.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $254.18 / $254.18 / $254.18	Professional	50	$254.18	$254.18	$254.18
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 $358.15 / $453.95 / $979.80	Professional		$358.15	$453.95	$979.80
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.23 / $680.92 / $1,469.70	Professional	50	$537.23	$680.92	$1,469.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $433.92 / $1,990.00 / $8,917.50	Facility		$433.92	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $433.92 / $433.92 / $687.44	Professional		$433.92	$433.92	$687.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $513.53 / $1,424.38	Facility		$513.53	$513.53	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.05 / $494.53 / $1,087.54	Professional		$278.05	$494.53	$1,087.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $332.00 / $796.12	Facility		$200.00	$332.00	$796.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $522.63 / $630.37 / $994.06	Professional		$522.63	$630.37	$994.06
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $434.74 / $1,004.78	Professional		$206.72	$434.74	$1,004.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,875.62 / $3,875.62 / $3,875.62	Facility		$3,875.62	$3,875.62	$3,875.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $601.70 / $601.70 / $601.70	Professional		$601.70	$601.70	$601.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $513.53 / $597.00 / $74,999.25	Facility		$513.53	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $324.49 / $564.46 / $1,178.57	Professional		$324.49	$564.46	$1,178.57
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 $390.02 / $515.84 / $1,074.76	Professional		$390.02	$515.84	$1,074.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $424.43 / $424.43 / $831.95	Facility		$424.43	$424.43	$831.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $206.72 / $647.54 / $1,124.68	Professional		$206.72	$647.54	$1,124.68