Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.03 / $3,703.00 / $9,038.00	Facility		$357.03	$3,703.00	$9,038.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,384.46 / $9,594.00 / $13,715.81	Facility	50	$2,384.46	$9,594.00	$13,715.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.86 / $366.21 / $689.81	Professional		$211.86	$366.21	$689.81
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $114.04 / $114.04 / $435.03	Professional	50	$114.04	$114.04	$435.03
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 $315.50 / $400.05 / $979.51	Professional		$315.50	$400.05	$979.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $473.26 / $600.08 / $1,456.87	Professional	50	$473.26	$600.08	$1,456.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $309.51 / $1,716.00 / $6,213.00	Facility		$309.51	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $309.51 / $309.51 / $553.97	Professional		$309.51	$309.51	$553.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.76 / $365.76 / $1,424.38	Facility		$365.76	$365.76	$1,424.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $210.07 / $391.87 / $870.50	Professional		$210.07	$391.87	$870.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $288.67 / $562.50	Facility		$200.00	$288.67	$562.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $408.63 / $493.04 / $777.36	Professional		$408.63	$493.04	$777.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $420.88 / $787.45	Professional		$250.27	$420.88	$787.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,849.81 / $3,024.26 / $7,699.33	Facility		$1,849.81	$3,024.26	$7,699.33
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,884.60 / $3,884.60 / $3,884.60	Facility	50	$3,884.60	$3,884.60	$3,884.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.25 / $267.95 / $603.20	Professional		$257.25	$267.95	$603.20
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $340.31 / $404.14 / $904.79	Professional	50	$340.31	$404.14	$904.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $365.76 / $597.00 / $74,999.25	Facility		$365.76	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $221.45 / $466.49 / $1,032.10	Professional		$221.45	$466.49	$1,032.10
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 $335.39 / $462.42 / $930.27	Professional		$335.39	$462.42	$930.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $301.43 / $301.43 / $796.40	Facility		$301.43	$301.43	$796.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $250.27 / $507.48 / $981.08	Professional		$250.27	$507.48	$981.08