Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $326.16 / $3,390.02 / $11,609.00	Facility		$326.16	$3,390.02	$11,609.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.36 / $339.34 / $1,653.69	Professional		$241.36	$339.34	$1,653.69
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $40.77 / $136.27 / $313.02	Professional	AS	$40.77	$136.27	$313.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,574.00 / $8,170.00 / $16,083.00	Facility		$4,574.00	$8,170.00	$16,083.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $244.76 / $310.36 / $854.60	Professional		$244.76	$310.36	$854.60
Anthem BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $34.26 / $42.55 / $120.20	Professional	AS	$34.26	$42.55	$120.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $359.74 / $3,183.00 / $13,009.50	Facility		$359.74	$3,183.00	$13,009.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $359.74 / $359.74 / $359.74	Professional		$359.74	$359.74	$359.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $44,560.00 / $53,687.00	Facility		$292.55	$44,560.00	$53,687.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.79 / $412.34 / $1,157.72	Professional		$265.79	$412.34	$1,157.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $259.79 / $332.00 / $13,558.00	Facility		$259.79	$332.00	$13,558.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.72 / $395.14 / $603.49	Professional		$275.72	$395.14	$603.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.20 / $235.20 / $235.20	Facility		$235.20	$235.20	$235.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $228.52 / $299.92 / $530.91	Professional		$228.52	$299.92	$530.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $901.41 / $2,118.25 / $3,243.52	Facility		$901.41	$2,118.25	$3,243.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $287.44 / $358.02 / $459.00	Professional		$287.44	$358.02	$459.00
Highmark BCBS Facility/Professional Professional Modifier AS Low / Median / High Price $49.22 / $49.22 / $49.22	Professional	AS	$49.22	$49.22	$49.22
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $292.55 / $26,028.00 / $53,687.00	Facility		$292.55	$26,028.00	$53,687.00
MVP Health Care Facility/Professional Facility Modifier 62 Low / Median / High Price $179.42 / $179.42 / $179.42	Facility	62	$179.42	$179.42	$179.42
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $28.71 / $28.71 / $28.71	Facility	AS	$28.71	$28.71	$28.71
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $271.17 / $412.34 / $1,157.73	Professional		$271.17	$412.34	$1,157.73
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 $240.87 / $341.87 / $910.00	Professional		$240.87	$341.87	$910.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $423.77 / $423.77 / $504.82	Facility		$423.77	$423.77	$504.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $235.20 / $352.85 / $592.30	Professional		$235.20	$352.85	$592.30