Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,030.55 / $8,916.00 / $52,734.22	Facility		$1,030.55	$8,916.00	$52,734.22
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $283.32 / $360.14 / $515.28	Facility	52	$283.32	$360.14	$515.28
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $113.33 / $144.06 / $206.11	Facility	53	$113.33	$144.06	$206.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $676.51 / $1,976.55	Professional		$530.37	$676.51	$1,976.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,731.00 / $24,910.00 / $73,118.00	Facility		$5,731.00	$24,910.00	$73,118.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $535.48 / $699.98 / $1,409.10	Professional		$535.48	$699.98	$1,409.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $820.83 / $5,064.50 / $15,193.50	Facility		$820.83	$5,064.50	$15,193.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $820.83 / $820.83 / $820.83	Professional		$820.83	$820.83	$820.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16,219.95 / $31,859.00 / $48,806.00	Facility		$16,219.95	$31,859.00	$48,806.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $512.70 / $512.70 / $512.70	Facility	52	$512.70	$512.70	$512.70
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $128.18 / $128.18 / $128.18	Facility	53	$128.18	$128.18	$128.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $625.22 / $978.55 / $1,954.88	Professional		$625.22	$978.55	$1,954.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $838.00 / $3,402.28	Facility		$332.00	$838.00	$3,402.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $608.86 / $811.81 / $1,170.35	Professional		$608.86	$811.81	$1,170.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $475.35 / $542.54 / $985.93	Professional		$475.35	$542.54	$985.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,568.66 / $13,796.59 / $30,761.78	Facility		$11,568.66	$13,796.59	$30,761.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12,004.00 / $30,660.00 / $48,806.00	Facility		$12,004.00	$30,660.00	$48,806.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $512.70 / $512.70 / $512.70	Facility	52	$512.70	$512.70	$512.70
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $128.18 / $128.18 / $128.18	Facility	53	$128.18	$128.18	$128.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $606.55 / $895.80 / $1,863.21	Professional		$606.55	$895.80	$1,863.21
United Facility/Professional Facility Modifier Low / Median / High Price $2,444.00 / $13,478.00 / $40,704.00	Facility		$2,444.00	$13,478.00	$40,704.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.79 / $758.20 / $1,797.28	Professional		$525.79	$758.20	$1,797.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $782.42 / $782.42 / $1,891.89	Facility		$782.42	$782.42	$1,891.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $529.17 / $823.93 / $1,444.89	Professional		$529.17	$823.93	$1,444.89