Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $3,162.28 / $10,232.93	Facility		$426.58	$3,162.28	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility	50	$4,786.30	$4,786.30	$4,786.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $912.01	Professional		$295.12	$467.74	$912.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $281.84 / $281.84 / $281.84	Professional	50	$281.84	$281.84	$281.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $10,232.93	Facility		$2,630.27	$4,786.30	$10,232.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $457.09 / $1,047.13	Professional		$354.81	$457.09	$1,047.13
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $537.03 / $676.08 / $1,584.89	Professional	50	$537.03	$676.08	$1,584.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $1,995.26 / $8,912.51	Facility		$436.52	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $691.83	Professional		$436.52	$436.52	$691.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $50,118.72	Facility		$512.86	$512.86	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $537.03 / $1,202.26	Professional		$295.12	$537.03	$1,202.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $323.59 / $812.83	Facility		$199.53	$323.59	$812.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $676.08 / $1,047.13	Professional		$549.54	$676.08	$1,047.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $562.34 / $1,000.00	Professional		$331.13	$562.34	$1,000.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $3,890.45 / $3,890.45	Facility		$3,890.45	$3,890.45	$3,890.45
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $50,118.72 / $75,857.76	Facility		$257.04	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $575.44 / $977.24	Professional		$398.11	$575.44	$977.24
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 $257.04 / $416.87 / $870.96	Professional		$257.04	$416.87	$870.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $426.58 / $831.76	Facility		$251.19	$426.58	$831.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $1,174.90	Professional		$331.13	$489.78	$1,174.90