Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.52 / $2,626.00 / $7,185.00	Facility		$121.52	$2,626.00	$7,185.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $844.15 / $2,437.80 / $2,596.26	Facility	50	$844.15	$2,437.80	$2,596.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.40 / $177.30 / $362.50	Professional		$97.40	$177.30	$362.50
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $126.36 / $397.21 / $819.80	Professional	50	$126.36	$397.21	$819.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.53 / $227.64 / $456.16	Professional		$172.53	$227.64	$456.16
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $258.80 / $337.87 / $664.14	Professional	50	$258.80	$337.87	$664.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $105.67 / $105.67 / $105.67	Facility		$105.67	$105.67	$105.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.67 / $105.67 / $283.29	Professional		$105.67	$105.67	$283.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $128.01 / $14,648.00	Facility		$128.01	$128.01	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $188.67 / $481.80	Professional		$89.44	$188.67	$481.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $89.56 / $332.00	Facility		$40.00	$89.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.90 / $252.91 / $398.42	Professional		$183.90	$252.91	$398.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $192.53 / $343.81	Professional		$120.70	$192.53	$343.81
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $123.98 / $123.98	Professional		$123.98	$123.98	$123.98
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,662.42 / $1,662.42 / $3,262.00	Facility		$1,662.42	$1,662.42	$3,262.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.88 / $241.80 / $385.66	Professional		$152.88	$241.80	$385.66
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $229.32 / $362.70 / $578.48	Professional	50	$229.32	$362.70	$578.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $128.01 / $555.00 / $74,999.25	Facility		$128.01	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $98.68 / $247.95 / $516.76	Professional		$98.68	$247.95	$516.76
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 $185.62 / $251.54 / $623.51	Professional		$185.62	$251.54	$623.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.20 / $94.20 / $309.19	Facility		$94.20	$94.20	$309.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $226.51 / $367.83	Professional		$120.70	$226.51	$367.83