Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.92 / $2,626.00 / $7,185.00	Facility		$83.92	$2,626.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $112.15 / $254.20	Professional		$60.56	$112.15	$254.20
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $91.74 / $2,482.80 / $2,482.80	Professional	50	$91.74	$2,482.80	$2,482.80
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 $81.34 / $104.11 / $269.20	Professional		$81.34	$104.11	$269.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $126.76 / $158.19 / $409.95	Professional	50	$126.76	$158.19	$409.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.91 / $1,254.00 / $4,050.00	Facility		$83.91	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.91 / $83.91 / $141.68	Professional		$83.91	$83.91	$141.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $100.02 / $100.02	Facility		$100.02	$100.02	$100.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.63 / $141.38 / $355.52	Professional		$67.63	$141.38	$355.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.17 / $98.95 / $332.00	Facility		$69.17	$98.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $106.54 / $148.01 / $238.61	Professional		$106.54	$148.01	$238.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.49 / $91.49 / $91.49	Facility		$91.49	$91.49	$91.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.42 / $125.99 / $207.24	Professional		$82.42	$125.99	$207.24
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $94.83 / $94.83 / $94.83	Professional	50	$94.83	$94.83	$94.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $558.10 / $558.10 / $558.10	Facility		$558.10	$558.10	$558.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $145.99 / $145.99	Professional		$145.99	$145.99	$145.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.02 / $555.00 / $597.00	Facility		$100.02	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $147.66 / $371.35	Professional		$72.23	$147.66	$371.35
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 $93.41 / $141.11 / $325.00	Professional		$93.41	$141.11	$325.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.69 / $67.69 / $301.83	Facility		$67.69	$67.69	$301.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $91.49 / $134.27 / $207.24	Professional		$91.49	$134.27	$207.24