Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,316.48 / $8,653.64 / $40,445.80	Facility		$1,316.48	$8,653.64	$40,445.80
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $207.07 / $256.83 / $336.43	Facility	53	$207.07	$256.83	$336.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.62 / $1,274.93 / $3,088.56	Professional		$966.62	$1,274.93	$3,088.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,432.00 / $23,137.00 / $93,611.00	Facility		$5,432.00	$23,137.00	$93,611.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,105.58 / $1,433.71 / $2,571.82	Professional		$1,105.58	$1,433.71	$2,571.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,566.61 / $12,212.00 / $28,291.50	Facility		$1,566.61	$12,212.00	$28,291.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $1,566.61 / $1,566.61 / $1,566.61	Professional		$1,566.61	$1,566.61	$1,566.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20,885.00 / $40,154.00 / $48,379.00	Facility		$20,885.00	$40,154.00	$48,379.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $206.47 / $206.47 / $206.47	Facility	53	$206.47	$206.47	$206.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,121.28 / $1,789.19 / $3,707.67	Professional		$1,121.28	$1,789.19	$3,707.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $332.00 / $1,525.00 / $6,191.50	Facility		$332.00	$1,525.00	$6,191.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,031.15 / $1,307.23 / $1,884.59	Professional		$1,031.15	$1,307.23	$1,884.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $831.85 / $1,261.28 / $1,505.44	Professional		$831.85	$1,261.28	$1,505.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,580.00 / $32,258.74 / $49,069.00	Facility		$9,580.00	$32,258.74	$49,069.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $1,059.11 / $28,098.00 / $48,379.00	Facility		$1,059.11	$28,098.00	$48,379.00
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $206.47 / $206.47 / $206.47	Facility	53	$206.47	$206.47	$206.47
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $1,188.55 / $1,855.80 / $3,513.57	Professional		$1,188.55	$1,855.80	$3,513.57
United Facility/Professional Facility Modifier Low / Median / High Price $3,037.00 / $14,436.00 / $42,031.00	Facility		$3,037.00	$14,436.00	$42,031.00
United Facility/Professional Professional Modifier Low / Median / High Price $980.42 / $1,423.59 / $3,329.97	Professional		$980.42	$1,423.59	$3,329.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $1,672.45 / $1,672.45 / $3,441.43	Facility		$1,672.45	$1,672.45	$3,441.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $852.22 / $1,341.56 / $2,326.89	Professional		$852.22	$1,341.56	$2,326.89