Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,801.89 / $10,964.78	Facility		$645.65	$3,801.89	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $10,000.00 / $10,000.00 / $10,000.00	Facility	50	$10,000.00	$10,000.00	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,258.93	Professional		$426.58	$630.96	$1,258.93
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Professional	50	$1,412.54	$1,412.54	$1,412.54
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 $478.63 / $616.60 / $1,445.44	Professional		$478.63	$616.60	$1,445.44
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $724.44 / $912.01 / $2,187.76	Professional	50	$724.44	$912.01	$2,187.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,995.26 / $8,912.51	Facility		$630.96	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $831.76	Professional		$630.96	$630.96	$831.76
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 $389.05 / $707.95 / $1,659.59	Professional		$389.05	$707.95	$1,659.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $575.44 / $1,479.11	Facility		$446.68	$575.44	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $831.76 / $1,288.25	Professional		$676.08	$831.76	$1,288.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $707.95 / $1,230.27	Professional		$407.38	$707.95	$1,230.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $549.54 / $724.44	Professional		$524.81	$549.54	$724.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $50,118.72 / $75,857.76	Facility		$436.52	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $707.95 / $1,202.26	Professional		$398.11	$707.95	$1,202.26
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 / $562.34 / $1,174.90	Professional		$398.11	$562.34	$1,174.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $616.60 / $1,412.54	Facility		$371.54	$616.60	$1,412.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $616.60 / $1,819.70	Professional		$407.38	$616.60	$1,819.70