Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $1,116.11 / $7,865.95	Facility		$85.12	$1,116.11	$7,865.95
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $794.58 / $794.58 / $794.58	Facility	50	$794.58	$794.58	$794.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $87.18 / $251.85	Professional		$42.33	$87.18	$251.85
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 $56.72 / $119.56 / $229.52	Professional		$56.72	$119.56	$229.52
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $93.58 / $179.34 / $357.36	Professional	50	$93.58	$179.34	$357.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.98 / $1,716.00 / $6,213.00	Facility		$84.98	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.98 / $84.98 / $183.34	Professional		$84.98	$84.98	$183.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $102.67 / $102.67	Facility		$102.67	$102.67	$102.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $111.63 / $277.43	Professional		$58.71	$111.63	$277.43
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $89.99 / $332.00	Facility		$55.00	$89.99	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.80 / $174.90 / $367.54	Professional		$148.80	$174.90	$367.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $119.55 / $239.27	Professional		$60.73	$119.55	$239.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.08 / $670.63 / $1,986.93	Facility		$252.08	$670.63	$1,986.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $56.79 / $121.22	Professional		$56.79	$56.79	$121.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.67 / $555.00 / $74,999.25	Facility		$102.67	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $146.35 / $332.86	Professional		$69.20	$146.35	$332.86
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 $79.67 / $141.68 / $321.95	Professional		$79.67	$141.68	$321.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $64.98 / $231.98	Facility		$64.98	$64.98	$231.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.73 / $139.02 / $273.37	Professional		$60.73	$139.02	$273.37