Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.04 / $3,205.00 / $8,907.44	Facility		$205.04	$3,205.00	$8,907.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,008.65 / $7,008.65 / $7,008.65	Facility	50	$7,008.65	$7,008.65	$7,008.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $204.59 / $406.26	Professional		$130.50	$204.59	$406.26
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 $206.75 / $256.75 / $525.33	Professional		$206.75	$256.75	$525.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $310.13 / $385.13 / $802.92	Professional	50	$310.13	$385.13	$802.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $206.55 / $206.55 / $6,213.00	Facility		$206.55	$206.55	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $206.55 / $206.55 / $338.32	Professional		$206.55	$206.55	$338.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $224.53 / $224.53 / $245.40	Facility		$224.53	$224.53	$245.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.08 / $250.30 / $544.61	Professional		$132.08	$250.30	$544.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $179.71 / $377.64	Facility		$75.00	$179.71	$377.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $259.31 / $313.07 / $493.22	Professional		$259.31	$313.07	$493.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $215.91 / $433.48	Professional		$126.99	$215.91	$433.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $275.95 / $292.91	Professional		$151.97	$275.95	$292.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $224.53 / $555.00 / $74,999.25	Facility		$224.53	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $145.00 / $284.99 / $639.66	Professional		$145.00	$284.99	$639.66
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 $203.38 / $269.66 / $531.64	Professional		$203.38	$269.66	$531.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $201.37 / $201.37 / $451.31	Facility		$201.37	$201.37	$451.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.99 / $240.11 / $497.06	Professional		$126.99	$240.11	$497.06