Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.26 / $3,951.00 / $10,024.00	Facility		$357.26	$3,951.00	$10,024.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,750.44 / $7,009.74 / $24,360.00	Facility	50	$1,750.44	$7,009.74	$24,360.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.00 / $385.66 / $808.45	Professional		$272.00	$385.66	$808.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $800.00 / $946.82 / $7,597.80	Professional	50	$800.00	$946.82	$7,597.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.55 / $433.08 / $957.16	Professional		$341.55	$433.08	$957.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $512.33 / $649.62 / $1,435.74	Professional	50	$512.33	$649.62	$1,435.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $403.29 / $1,990.00 / $8,917.50	Facility		$403.29	$1,990.00	$8,917.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $403.29 / $403.29 / $538.88	Professional		$403.29	$403.29	$538.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $486.64 / $486.64 / $7,227.90	Facility		$486.64	$486.64	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.45 / $566.30 / $1,287.95	Professional		$267.45	$566.30	$1,287.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $145.00 / $319.00 / $746.39	Facility		$145.00	$319.00	$746.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $441.19 / $515.61 / $771.63	Professional		$441.19	$515.61	$771.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $298.23 / $409.67 / $704.09	Professional		$298.23	$409.67	$704.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,390.47 / $2,358.40 / $3,407.42	Facility		$1,390.47	$2,358.40	$3,407.42
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,898.21 / $2,446.50 / $4,718.56	Facility	50	$1,898.21	$2,446.50	$4,718.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $486.64 / $555.00 / $7,227.90	Facility		$486.64	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $292.30 / $575.58 / $1,314.53	Professional		$292.30	$575.58	$1,314.53
United Facility/Professional Facility Modifier Low / Median / High Price $2,031.00 / $4,840.00 / $9,202.00	Facility		$2,031.00	$4,840.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.84 / $463.55 / $1,044.78	Professional		$221.84	$463.55	$1,044.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $307.51 / $307.51 / $900.23	Facility		$307.51	$307.51	$900.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $298.23 / $409.67 / $773.33	Professional		$298.23	$409.67	$773.33