Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.69 / $2,626.00 / $7,185.00	Facility		$86.69	$2,626.00	$7,185.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $421.89 / $1,717.28 / $5,088.52	Facility	50	$421.89	$1,717.28	$5,088.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.79 / $97.10 / $213.27	Professional		$59.79	$97.10	$213.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.51 / $159.18 / $462.93	Professional	50	$98.51	$159.18	$462.93
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 $69.26 / $87.97 / $223.26	Professional		$69.26	$87.97	$223.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.97 / $131.94 / $335.97	Professional	50	$104.97	$131.94	$335.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.94 / $74.94 / $4,050.00	Facility		$74.94	$74.94	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $74.94 / $104.55	Professional		$74.94	$74.94	$104.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $90.34 / $90.34	Facility		$90.34	$90.34	$90.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.68 / $116.33 / $319.54	Professional		$61.68	$116.33	$319.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $63.07 / $89.32 / $332.00	Facility		$63.07	$89.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $116.14 / $201.90	Professional		$81.16	$116.14	$201.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.69 / $69.69 / $69.69	Facility		$69.69	$69.69	$69.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $92.10 / $158.13	Professional		$62.89	$92.10	$158.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,163.20 / $1,163.20 / $1,163.20	Facility		$1,163.20	$1,163.20	$1,163.20
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,399.76 / $3,399.76 / $3,399.76	Facility	50	$3,399.76	$3,399.76	$3,399.76
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.36 / $137.36 / $138.87	Professional	50	$137.36	$137.36	$138.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $90.34 / $555.00 / $597.00	Facility		$90.34	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $67.86 / $121.01 / $324.00	Professional		$67.86	$121.01	$324.00
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 $66.48 / $105.71 / $233.81	Professional		$66.48	$105.71	$233.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $334.74	Facility		$60.60	$60.60	$334.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $69.69 / $95.56 / $158.13	Professional		$69.69	$95.56	$158.13