Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $3,548.13 / $9,120.11	Facility		$912.01	$3,548.13	$9,120.11
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,548.82 / $1,548.82 / $1,548.82	Facility	50	$1,548.82	$1,548.82	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $831.76 / $1,778.28	Professional		$588.84	$831.76	$1,778.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $933.25 / $933.25 / $933.25	Professional	50	$933.25	$933.25	$933.25
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 $630.96 / $812.83 / $1,949.84	Professional		$630.96	$812.83	$1,949.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $954.99 / $1,202.26 / $2,884.03	Professional	50	$954.99	$1,202.26	$2,884.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $1,995.26 / $8,912.51	Facility		$912.01	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $912.01 / $912.01 / $1,096.48	Professional		$912.01	$912.01	$1,096.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $1,412.54 / $50,118.72	Facility		$1,071.52	$1,412.54	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $954.99 / $2,344.23	Professional		$537.03	$954.99	$2,344.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $691.83 / $2,089.30	Facility		$549.54	$691.83	$2,089.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,096.48 / $1,698.24	Professional		$891.25	$1,096.48	$1,698.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $912.01 / $1,621.81	Professional		$537.03	$912.01	$1,621.81
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Professional		$794.33	$794.33	$954.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $50,118.72 / $75,857.76	Facility		$588.84	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $954.99 / $1,584.89	Professional		$398.11	$954.99	$1,584.89
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 $537.03 / $758.58 / $1,621.81	Professional		$537.03	$758.58	$1,621.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $891.25 / $1,698.24	Facility		$524.81	$891.25	$1,698.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $891.25 / $2,630.27	Professional		$537.03	$891.25	$2,630.27