Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.90 / $3,951.00 / $9,038.00	Facility		$436.90	$3,951.00	$9,038.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.61 / $209.91 / $293.18	Facility	52	$172.61	$209.91	$293.18
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $69.04 / $83.96 / $117.27	Facility	53	$69.04	$83.96	$117.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.20 / $472.50 / $845.32	Professional		$343.20	$472.50	$845.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,373.00 / $4,085.00 / $8,281.00	Facility		$2,373.00	$4,085.00	$8,281.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $260.86 / $323.95 / $775.72	Professional		$260.86	$323.95	$775.72
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $468.31 / $468.31 / $6,213.00	Facility		$468.31	$468.31	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $468.31 / $468.31 / $468.31	Professional		$468.31	$468.31	$468.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $373.67 / $6,511.02	Facility		$373.67	$373.67	$6,511.02
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.54 / $544.34 / $1,164.04	Professional		$263.54	$544.34	$1,164.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $299.00 / $342.62 / $833.29	Facility		$299.00	$342.62	$833.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $342.62 / $445.41 / $914.76	Professional		$342.62	$445.41	$914.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $305.81 / $305.81 / $639.45	Facility		$305.81	$305.81	$639.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.79 / $428.84 / $609.78	Professional		$275.79	$428.84	$609.78
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,759.57 / $4,586.33 / $9,904.00	Facility		$2,759.57	$4,586.33	$9,904.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $368.75 / $368.75 / $616.88	Professional		$368.75	$368.75	$616.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $373.67 / $597.00 / $6,511.02	Facility		$373.67	$597.00	$6,511.02
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $291.99 / $291.99 / $291.99	Facility	52	$291.99	$291.99	$291.99
MVP Health Care Facility/Professional Facility Modifier 53 Low / Median / High Price $73.00 / $73.00 / $73.00	Facility	53	$73.00	$73.00	$73.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $345.89 / $471.44 / $1,083.42	Professional		$345.89	$471.44	$1,083.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,612.00 / $8,133.00	Facility		$1,269.00	$3,612.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $281.63 / $392.41 / $921.06	Professional		$281.63	$392.41	$921.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $477.76 / $477.76 / $639.45	Facility		$477.76	$477.76	$639.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $366.80 / $477.76 / $830.52	Professional		$366.80	$477.76	$830.52