Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.83 / $3,818.00 / $8,442.00	Facility		$791.83	$3,818.00	$8,442.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $496.66 / $716.80 / $1,248.41	Professional		$496.66	$716.80	$1,248.41
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 $469.63 / $613.90 / $1,397.45	Professional		$469.63	$613.90	$1,397.45
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $704.45 / $920.85 / $2,096.17	Professional	50	$704.45	$920.85	$2,096.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $841.80 / $1,716.00 / $6,213.00	Facility		$841.80	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $841.80 / $841.80 / $841.80	Professional		$841.80	$841.80	$841.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $667.35 / $667.35 / $1,424.38	Facility		$667.35	$667.35	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $487.36 / $725.82 / $1,684.33	Professional		$487.36	$725.82	$1,684.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $629.50 / $1,521.20	Facility		$332.00	$629.50	$1,521.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.52 / $810.48 / $1,259.00	Professional		$660.52	$810.48	$1,259.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $726.64 / $1,124.68	Professional		$305.61	$726.64	$1,124.68
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,051.50 / $1,051.50 / $1,063.07	Professional	50	$1,051.50	$1,051.50	$1,063.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $667.35 / $74,999.25	Facility		$555.00	$667.35	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $492.33 / $762.11 / $1,684.33	Professional		$492.33	$762.11	$1,684.33
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 $492.84 / $673.36 / $1,364.64	Professional		$492.84	$673.36	$1,364.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $816.17 / $816.17 / $1,661.24	Facility		$816.17	$816.17	$1,661.24
Univera Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $816.17 / $1,517.58	Professional		$305.61	$816.17	$1,517.58