Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.04 / $1,909.21 / $6,962.00	Facility		$78.04	$1,909.21	$6,962.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $199.19 / $1,728.00 / $2,608.10	Facility	50	$199.19	$1,728.00	$2,608.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.19 / $101.46 / $278.16	Professional		$55.19	$101.46	$278.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $112.94 / $126.00 / $540.23	Professional	50	$112.94	$126.00	$540.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.11 / $170.74 / $297.39	Professional		$120.11	$170.74	$297.39
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $184.63 / $256.12 / $446.08	Professional	50	$184.63	$256.12	$446.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.05 / $79.05 / $4,050.00	Facility		$79.05	$79.05	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.05 / $79.05 / $221.81	Professional		$79.05	$79.05	$221.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $96.66 / $14,648.00	Facility		$96.66	$96.66	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $162.91 / $494.91	Professional		$67.06	$162.91	$494.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $73.40 / $332.00	Facility		$40.00	$73.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $162.55 / $208.67 / $312.45	Professional		$162.55	$208.67	$312.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $168.49 / $286.02	Professional		$87.83	$168.49	$286.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $238.14 / $834.03	Facility		$50.00	$238.14	$834.03
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $105.56 / $105.56 / $1,208.04	Facility	50	$105.56	$105.56	$1,208.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $96.66 / $96.66 / $74,999.25	Facility		$96.66	$96.66	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.67 / $180.61 / $453.13	Professional		$73.67	$180.61	$453.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $117.34 / $168.46 / $391.05	Professional		$117.34	$168.46	$391.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.94 / $60.94 / $212.97	Facility		$60.94	$60.94	$212.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $168.49 / $312.51	Professional		$87.83	$168.49	$312.51