Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.86 / $2,182.73 / $7,028.00	Facility		$100.86	$2,182.73	$7,028.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $40.06 / $72.55 / $129.47	Facility	52	$40.06	$72.55	$129.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $134.47 / $290.33	Professional		$67.79	$134.47	$290.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.05 / $110.57 / $357.09	Professional		$87.05	$110.57	$357.09
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.58 / $1,254.00 / $4,050.00	Facility		$86.58	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.58 / $86.58 / $186.37	Professional		$86.58	$86.58	$186.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $110.27 / $110.27	Facility		$110.27	$110.27	$110.27
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $173.12 / $478.14	Professional		$74.95	$173.12	$478.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $114.05 / $332.00	Facility		$75.00	$114.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.63 / $225.96 / $540.04	Professional		$156.63	$225.96	$540.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.50 / $134.50 / $134.50	Facility		$134.50	$134.50	$134.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.98 / $145.88 / $306.06	Professional		$117.98	$145.88	$306.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $742.14 / $1,160.90 / $2,459.19	Facility		$742.14	$1,160.90	$2,459.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $555.00 / $37,776.00	Facility		$110.27	$555.00	$37,776.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $88.22 / $88.22 / $88.22	Facility	52	$88.22	$88.22	$88.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $186.17 / $490.67	Professional		$77.93	$186.17	$490.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.21 / $191.95 / $488.22	Professional		$123.21	$191.95	$488.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.01 / $73.01 / $316.38	Facility		$73.01	$73.01	$316.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $134.50 / $176.41 / $306.06	Professional		$134.50	$176.41	$306.06