Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.52 / $1,831.00 / $7,735.00	Facility		$57.52	$1,831.00	$7,735.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.06 / $80.20 / $165.86	Professional		$47.06	$80.20	$165.86
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $19.73 / $33.76 / $69.11	Professional	52	$19.73	$33.76	$69.11
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $7.89 / $13.50 / $27.65	Professional	53	$7.89	$13.50	$27.65
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 $65.81 / $83.43 / $182.60	Professional		$65.81	$83.43	$182.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.98 / $65.98 / $4,050.00	Facility		$65.98	$65.98	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.98 / $65.98 / $102.76	Professional		$65.98	$65.98	$102.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $14,648.00	Facility		$78.86	$78.86	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.47 / $103.52 / $231.68	Professional		$52.47	$103.52	$231.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $72.00 / $332.00	Facility		$45.00	$72.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $84.75 / $99.86 / $149.44	Professional		$84.75	$99.86	$149.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $85.02 / $136.11	Professional		$62.50	$85.02	$136.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $152.27 / $152.27	Professional		$152.27	$152.27	$152.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $78.86 / $78.86 / $74,999.25	Facility		$78.86	$78.86	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $108.12 / $232.83	Professional		$54.70	$108.12	$232.83
MVP Health Care Facility/Professional Professional Modifier 53 Low / Median / High Price $34.59 / $44.94 / $69.93	Professional	53	$34.59	$44.94	$69.93
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 $70.73 / $96.10 / $192.30	Professional		$70.73	$96.10	$192.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.23 / $52.23 / $171.39	Facility		$52.23	$52.23	$171.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.57 / $89.53 / $149.49	Professional		$60.57	$89.53	$149.49