Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.52 / $1,837.00 / $7,028.00	Facility		$54.52	$1,837.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $86.13 / $152.30	Professional		$35.15	$86.13	$152.30
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $17.57 / $36.15 / $65.86	Professional	52	$17.57	$36.15	$65.86
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 $67.91 / $86.26 / $196.77	Professional		$67.91	$86.26	$196.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.41 / $43.41 / $4,050.00	Facility		$43.41	$43.41	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $111.21	Professional		$43.41	$43.41	$111.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $14,648.00	Facility		$51.00	$51.00	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.99 / $97.85 / $279.86	Professional		$36.99	$97.85	$279.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.54 / $77.00 / $332.00	Facility		$33.54	$77.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.39 / $101.76 / $152.29	Professional		$78.39	$101.76	$152.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.41 / $91.23 / $138.15	Professional		$64.41	$91.23	$138.15
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $70.18 / $70.18 / $70.18	Professional		$70.18	$70.18	$70.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.19 / $473.17 / $1,359.78	Facility		$151.19	$473.17	$1,359.78
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $74,999.25	Facility		$51.00	$51.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.25 / $106.69 / $284.62	Professional		$47.25	$106.69	$284.62
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 $66.29 / $92.76 / $276.67	Professional		$66.29	$92.76	$276.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $38.54 / $158.91	Facility		$38.54	$38.54	$158.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $94.32 / $153.35	Professional		$62.13	$94.32	$153.35