Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $2,159.00 / $7,632.44	Facility		$51.11	$2,159.00	$7,632.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,621.83 / $6,918.65 / $11,149.37	Facility	50	$5,621.83	$6,918.65	$11,149.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $55.67 / $164.48	Professional		$36.75	$55.67	$164.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.95 / $47.00 / $129.88	Professional		$35.95	$47.00	$129.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.57 / $53.57 / $4,050.00	Facility		$53.57	$53.57	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.57 / $53.57 / $76.48	Professional		$53.57	$53.57	$76.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $61.88 / $61.88	Facility		$61.88	$61.88	$61.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.36 / $69.55 / $170.99	Professional		$39.36	$69.55	$170.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.85 / $61.56 / $332.00	Facility		$42.85	$61.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $56.81 / $78.53 / $126.50	Professional		$56.81	$78.53	$126.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.79 / $48.79 / $48.79	Facility		$48.79	$48.79	$48.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $63.07 / $111.25	Professional		$44.94	$63.07	$111.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $328.15 / $947.23	Facility		$50.00	$328.15	$947.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.79 / $77.43 / $126.82	Professional		$48.79	$77.43	$126.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.88 / $555.00 / $597.00	Facility		$61.88	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.60 / $74.59 / $171.14	Professional		$42.60	$74.59	$171.14
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 $49.38 / $68.59 / $171.86	Professional		$49.38	$68.59	$171.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.11 / $44.11 / $163.49	Facility		$44.11	$44.11	$163.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.23 / $68.00 / $116.57	Professional		$45.23	$68.00	$116.57