Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.82 / $3,060.00 / $9,661.00	Facility		$57.82	$3,060.00	$9,661.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.50 / $11.81 / $15.98	Facility	53	$9.50	$11.81	$15.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.83 / $59.67 / $170.13	Professional		$43.83	$59.67	$170.13
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 $39.90 / $52.16 / $110.00	Professional		$39.90	$52.16	$110.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.93 / $62.93 / $4,050.00	Facility		$62.93	$62.93	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $62.93	Professional		$62.93	$62.93	$62.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $50.58 / $14,648.00	Facility		$50.58	$50.58	$14,648.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $9.69 / $9.69 / $9.69	Facility	53	$9.69	$9.69	$9.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $74.02 / $151.34	Professional		$34.29	$74.02	$151.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $48.83 / $72.00 / $332.00	Facility		$48.83	$72.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.80 / $59.00 / $118.88	Professional		$42.80	$59.00	$118.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $46.90 / $71.87	Professional		$33.65	$46.90	$71.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,702.18 / $1,702.18 / $1,702.18	Facility		$1,702.18	$1,702.18	$1,702.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $555.00 / $74,999.25	Facility		$50.58	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $9.69 / $9.69 / $9.69	Facility	53	$9.69	$9.69	$9.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.54 / $74.02 / $151.34	Professional		$40.54	$74.02	$151.34
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 $41.62 / $56.00 / $134.29	Professional		$41.62	$56.00	$134.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.01 / $56.01 / $202.76	Facility		$56.01	$56.01	$202.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $56.01 / $111.91	Professional		$33.65	$56.01	$111.91