Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.29 / $1,819.00 / $7,028.00	Facility		$101.29	$1,819.00	$7,028.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $34.19 / $79.23 / $162.53	Facility	52	$34.19	$79.23	$162.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.95 / $185.02 / $415.50	Professional		$66.95	$185.02	$415.50
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $34.19 / $103.08 / $199.58	Professional	52	$34.19	$103.08	$199.58
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 $168.50 / $222.33 / $495.74	Professional		$168.50	$222.33	$495.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $89.76 / $6,213.00	Facility		$89.76	$89.76	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.76 / $89.76 / $277.39	Professional		$89.76	$89.76	$277.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $109.13 / $14,648.00	Facility		$109.13	$109.13	$14,648.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $87.30 / $87.30 / $87.30	Facility	52	$87.30	$87.30	$87.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.94 / $227.58 / $674.65	Professional		$75.94	$227.58	$674.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.79 / $109.69 / $332.00	Facility		$73.79	$109.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.52 / $219.74 / $380.53	Professional		$105.52	$219.74	$380.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.66 / $201.97 / $342.84	Professional		$160.66	$201.97	$342.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $192.90 / $192.90 / $192.90	Professional		$192.90	$192.90	$192.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $612.16 / $1,738.50	Facility		$10.00	$612.16	$1,738.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.13 / $555.00 / $74,999.25	Facility		$109.13	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $87.30 / $87.30 / $87.30	Facility	52	$87.30	$87.30	$87.30
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.36 / $259.02 / $674.65	Professional		$83.36	$259.02	$674.65
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 $158.69 / $246.10 / $536.14	Professional		$158.69	$246.10	$536.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.77 / $69.77 / $265.60	Facility		$69.77	$69.77	$265.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $151.78 / $201.97 / $374.60	Professional		$151.78	$201.97	$374.60