Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.32 / $2,559.00 / $7,735.00	Facility		$143.32	$2,559.00	$7,735.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,818.76 / $4,709.70 / $19,667.34	Facility	50	$1,818.76	$4,709.70	$19,667.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $309.82 / $1,004.70	Professional		$105.76	$309.82	$1,004.70
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $162.26 / $203.02 / $542.59	Professional	50	$162.26	$203.02	$542.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $369.20 / $493.59 / $1,290.08	Professional		$369.20	$493.59	$1,290.08
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $556.76 / $740.38 / $1,935.13	Professional	50	$556.76	$740.38	$1,935.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.12 / $1,254.00 / $4,050.00	Facility		$139.12	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.12 / $139.12 / $869.62	Professional		$139.12	$139.12	$869.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $167.16 / $5,246.94	Facility		$167.16	$167.16	$5,246.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.31 / $457.60 / $1,579.74	Professional		$110.31	$457.60	$1,579.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $165.47 / $332.00	Facility		$102.60	$165.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $593.60 / $763.21 / $1,142.18	Professional		$593.60	$763.21	$1,142.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $397.38 / $570.53 / $1,054.05	Professional		$397.38	$570.53	$1,054.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,117.13 / $2,853.67 / $7,801.18	Facility		$2,117.13	$2,853.67	$7,801.18
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,690.55 / $6,051.09 / $6,595.06	Facility	50	$2,690.55	$6,051.09	$6,595.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $167.16 / $555.00 / $5,246.94	Facility		$167.16	$555.00	$5,246.94
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $121.57 / $593.82 / $1,533.51	Professional		$121.57	$593.82	$1,533.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $5,963.00	Facility		$1,348.00	$3,496.00	$5,963.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.53 / $696.25 / $1,641.70	Professional		$485.53	$696.25	$1,641.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $126.85 / $126.85 / $287.22	Facility		$126.85	$126.85	$287.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $310.35 / $578.16 / $1,054.05	Professional		$310.35	$578.16	$1,054.05