Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $2,782.41 / $7,095.00	Facility		$50.85	$2,782.41	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.17 / $54.91 / $155.69	Professional		$42.17	$54.91	$155.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $65.52 / $151.38	Professional		$52.76	$65.52	$151.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.42 / $71.42 / $4,050.00	Facility		$71.42	$71.42	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $71.42 / $85.74	Professional		$71.42	$71.42	$85.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $14,648.00	Facility		$84.79	$84.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.08 / $97.71 / $203.03	Professional		$46.08	$97.71	$203.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.78 / $63.10 / $332.00	Facility		$30.78	$63.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $81.48 / $121.95	Professional		$67.80	$81.48	$121.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.16 / $59.30 / $111.63	Professional		$49.16	$59.30	$111.63
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $61.02 / $61.02 / $61.02	Professional		$61.02	$61.02	$61.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $392.23 / $1,130.50 / $2,416.50	Facility		$392.23	$1,130.50	$2,416.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $84.79 / $84.79 / $74,999.25	Facility		$84.79	$84.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $90.57 / $202.89	Professional		$51.79	$90.57	$202.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.19 / $76.75 / $165.69	Professional		$41.19	$76.75	$165.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.52 / $53.52 / $53.52	Facility		$53.52	$53.52	$53.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $53.00 / $64.84 / $126.83	Professional		$53.00	$64.84	$126.83