Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.76 / $2,394.00 / $7,307.00	Facility		$89.76	$2,394.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,419.00 / $2,419.00 / $2,419.00	Facility	50	$2,419.00	$2,419.00	$2,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.85 / $110.59 / $217.66	Professional		$56.85	$110.59	$217.66
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $54.53 / $359.34 / $830.88	Professional	50	$54.53	$359.34	$830.88
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 $84.68 / $124.53 / $285.33	Professional		$84.68	$124.53	$285.33
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.85 / $186.79 / $430.99	Professional	50	$137.85	$186.79	$430.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.94 / $69.94 / $4,050.00	Facility		$69.94	$69.94	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.94 / $69.94 / $159.22	Professional		$69.94	$69.94	$159.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $87.90 / $87.90	Facility		$87.90	$87.90	$87.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $146.50 / $411.57	Professional		$63.95	$146.50	$411.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $60.00 / $105.00 / $332.00	Facility		$60.00	$105.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $172.77 / $255.45	Professional		$120.21	$172.77	$255.45
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.21 / $103.21 / $103.21	Facility		$103.21	$103.21	$103.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.53 / $112.59 / $237.69	Professional		$94.53	$112.59	$237.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $385.99 / $503.62 / $625.79	Facility		$385.99	$503.62	$625.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $555.00 / $597.00	Facility		$87.90	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.26 / $150.66 / $414.66	Professional		$69.26	$150.66	$414.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,252.00 / $2,671.00 / $4,715.00	Facility		$1,252.00	$2,671.00	$4,715.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.25 / $148.31 / $359.98	Professional		$94.25	$148.31	$359.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.15 / $59.15 / $289.20	Facility		$59.15	$59.15	$289.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $96.41 / $137.00 / $237.69	Professional		$96.41	$137.00	$237.69