Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $2,626.00 / $7,343.00	Facility		$67.16	$2,626.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.84 / $72.05 / $185.75	Professional		$42.84	$72.05	$185.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.29 / $99.29 / $241.51	Professional	50	$99.29	$99.29	$241.51
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 $68.47 / $87.46 / $176.01	Professional		$68.47	$87.46	$176.01
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.43 / $134.10 / $264.02	Professional	50	$104.43	$134.10	$264.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $65.44 / $6,213.00	Facility		$65.44	$65.44	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $114.14	Professional		$65.44	$65.44	$114.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $79.31 / $14,648.00	Facility		$79.31	$79.31	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.55 / $95.23 / $230.87	Professional		$49.55	$95.23	$230.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.63 / $77.92 / $332.00	Facility		$48.63	$77.92	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.10 / $129.97 / $319.73	Professional		$90.10	$129.97	$319.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $77.37 / $77.37	Facility		$77.37	$77.37	$77.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $99.31 / $175.18	Professional		$67.53	$99.31	$175.18
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $73.84 / $73.84	Professional		$73.84	$73.84	$73.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.19 / $91.85 / $197.33	Professional		$66.19	$91.85	$197.33
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $121.28 / $121.28 / $159.24	Professional	50	$121.28	$121.28	$159.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.31 / $555.00 / $597.00	Facility		$79.31	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $100.04 / $222.92	Professional		$54.54	$100.04	$222.92
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 $69.44 / $93.99 / $226.67	Professional		$69.44	$93.99	$226.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.69 / $54.69 / $109.13	Facility		$54.69	$54.69	$109.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.08 / $107.82 / $175.18	Professional		$68.08	$107.82	$175.18