Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $4,897.79 / $10,232.93	Facility		$234.42	$4,897.79	$10,232.93
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,570.40 / $3,311.31 / $9,332.54	Facility	50	$2,570.40	$3,311.31	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $457.09	Professional		$134.90	$165.96	$457.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $4,786.30 / $9,772.37	Facility		$2,630.27	$4,786.30	$9,772.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $141.25 / $389.05	Professional		$109.65	$141.25	$389.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $1,995.26 / $8,912.51	Facility		$208.93	$1,995.26	$8,912.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $2,290.87 / $50,118.72	Facility		$251.19	$2,290.87	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $295.12 / $691.83	Professional		$117.49	$295.12	$691.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $208.93 / $537.03	Facility		$147.91	$208.93	$537.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $281.84	Professional		$144.54	$194.98	$281.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $380.19	Professional		$114.82	$177.83	$380.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $50,118.72 / $75,857.76	Facility		$158.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $398.11	Professional		$181.97	$223.87	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,981.07 / $8,709.64	Facility		$1,862.09	$3,981.07	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $436.52	Professional		$81.28	$158.49	$436.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $162.18 / $512.86	Facility		$123.03	$162.18	$512.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $416.87	Professional		$123.03	$177.83	$416.87