Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.75 / $2,513.30 / $7,095.00	Facility		$119.75	$2,513.30	$7,095.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $41.18 / $67.02 / $107.18	Facility	52	$41.18	$67.02	$107.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.35 / $118.28 / $374.89	Professional		$82.35	$118.28	$374.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.37 / $108.00 / $262.88	Professional		$86.37	$108.00	$262.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.54 / $133.54 / $4,050.00	Facility		$133.54	$133.54	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $133.54 / $184.15	Professional		$133.54	$133.54	$184.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $162.44 / $14,648.00	Facility		$162.44	$162.44	$14,648.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.94 / $129.94 / $129.94	Facility	52	$129.94	$129.94	$129.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.39 / $157.52 / $344.63	Professional		$85.39	$157.52	$344.63
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $120.95 / $332.00	Facility		$59.00	$120.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $94.82 / $259.48	Professional		$5.52	$94.82	$259.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.81 / $120.96 / $240.25	Professional		$105.81	$120.96	$240.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $416.92 / $803.89 / $2,139.19	Facility		$416.92	$803.89	$2,139.19
Highmark BCBS Facility/Professional Facility Modifier 52 Low / Median / High Price $706.50 / $706.50 / $1,342.40	Facility	52	$706.50	$706.50	$1,342.40
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.87 / $130.87 / $196.27	Professional		$130.87	$130.87	$196.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $162.44 / $555.00 / $74,999.25	Facility		$162.44	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $129.94 / $129.94 / $129.94	Facility	52	$129.94	$129.94	$129.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.78 / $164.29 / $387.84	Professional		$89.78	$164.29	$387.84
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $79.79 / $152.88 / $353.60	Professional		$79.79	$152.88	$353.60
Univera Facility/Professional Facility Modifier Low / Median / High Price $104.16 / $104.16 / $309.73	Facility		$104.16	$104.16	$309.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $104.16 / $139.59 / $306.23	Professional		$104.16	$139.59	$306.23