Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $3,801.89 / $10,964.78	Facility		$660.69	$3,801.89	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,630.78 / $8,912.51 / $8,912.51	Facility	50	$3,630.78	$8,912.51	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $660.69 / $1,479.11	Professional		$436.52	$660.69	$1,479.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $602.56 / $1,230.27 / $2,041.74	Professional	50	$602.56	$1,230.27	$2,041.74
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 $489.78 / $630.96 / $1,548.82	Professional		$489.78	$630.96	$1,548.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $741.31 / $933.25 / $2,344.23	Professional	50	$741.31	$933.25	$2,344.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $2,398.83 / $10,964.78	Facility		$630.96	$2,398.83	$10,964.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $933.25	Professional		$630.96	$630.96	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $1,412.54 / $50,118.72	Facility		$758.58	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $758.58 / $1,737.80	Professional		$380.19	$758.58	$1,737.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $588.84 / $1,479.11	Facility		$457.09	$588.84	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $912.01 / $1,412.54	Professional		$741.31	$912.01	$1,412.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $758.58 / $1,380.38	Professional		$446.68	$758.58	$1,380.38
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $457.09 / $537.03	Professional		$426.58	$457.09	$537.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $50,118.72 / $75,857.76	Facility		$426.58	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $794.33 / $1,318.26	Professional		$398.11	$794.33	$1,318.26
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 $398.11 / $588.84 / $1,230.27	Professional		$398.11	$588.84	$1,230.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,380.38	Facility		$371.54	$616.60	$1,380.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $676.08 / $1,862.09	Professional		$446.68	$676.08	$1,862.09