Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.13 / $3,158.00 / $7,839.00	Facility		$610.13	$3,158.00	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $408.02 / $562.28 / $1,042.67	Professional		$408.02	$562.28	$1,042.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $481.90 / $481.90 / $1,104.56	Professional	50	$481.90	$481.90	$1,104.56
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 $445.10 / $564.38 / $1,333.35	Professional		$445.10	$564.38	$1,333.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $667.66 / $868.44 / $2,013.40	Professional	50	$667.66	$868.44	$2,013.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $645.60 / $1,716.00 / $6,213.00	Facility		$645.60	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $645.60 / $645.60 / $831.32	Professional		$645.60	$645.60	$831.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $763.20 / $1,424.38	Facility		$763.20	$763.20	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.14 / $682.41 / $1,516.54	Professional		$385.14	$682.41	$1,516.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $585.00 / $1,169.80	Facility		$332.00	$585.00	$1,169.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $643.04 / $781.29 / $1,223.64	Professional		$643.04	$781.29	$1,223.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $538.82 / $1,124.68	Professional		$316.39	$538.82	$1,124.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,812.82 / $4,812.82 / $4,812.82	Facility		$4,812.82	$4,812.82	$4,812.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $558.91 / $561.99 / $727.63	Professional		$558.91	$561.99	$727.63
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $763.20 / $74,999.25	Facility		$555.00	$763.20	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $420.10 / $705.38 / $1,599.74	Professional		$420.10	$705.38	$1,599.74
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 $497.55 / $654.15 / $1,449.56	Professional		$497.55	$654.15	$1,449.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $625.91 / $625.91 / $1,464.33	Facility		$625.91	$625.91	$1,464.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $316.39 / $687.00 / $1,302.50	Professional		$316.39	$687.00	$1,302.50