Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.89 / $2,643.18 / $9,038.00	Facility		$72.89	$2,643.18	$9,038.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,557.00 / $19,240.07 / $19,240.07	Facility	50	$3,557.00	$19,240.07	$19,240.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.53 / $136.03 / $645.71	Professional		$55.53	$136.03	$645.71
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 $233.02 / $311.52 / $854.48	Professional		$233.02	$311.52	$854.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $75.45 / $4,050.00	Facility		$75.45	$75.45	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.45 / $75.45 / $598.27	Professional		$75.45	$75.45	$598.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $90.80 / $3,479.91	Facility		$90.80	$90.80	$3,479.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.46 / $212.12 / $1,038.92	Professional		$57.46	$212.12	$1,038.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $88.00 / $332.00	Facility		$55.00	$88.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.59 / $526.52 / $789.24	Professional		$410.59	$526.52	$789.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $472.06 / $731.48	Professional		$328.97	$472.06	$731.48
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,677.17 / $1,677.17 / $2,148.89	Facility	50	$1,677.17	$1,677.17	$2,148.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.80 / $555.00 / $3,479.91	Facility		$90.80	$555.00	$3,479.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.09 / $438.96 / $1,063.32	Professional		$65.09	$438.96	$1,063.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,694.00 / $3,146.00 / $5,253.00	Facility		$1,694.00	$3,146.00	$5,253.00
United Facility/Professional Professional Modifier Low / Median / High Price $335.40 / $481.38 / $1,261.00	Professional		$335.40	$481.38	$1,261.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.88 / $67.88 / $200.67	Facility		$67.88	$67.88	$200.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $175.24 / $474.82 / $811.93	Professional		$175.24	$474.82	$811.93