Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.85 / $2,626.00 / $7,307.00	Facility		$59.85	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $91.81 / $249.91	Professional		$28.48	$91.81	$249.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $125.21 / $2,482.80 / $2,482.80	Professional	50	$125.21	$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 $29.08 / $36.86 / $353.53	Professional		$29.08	$36.86	$353.53
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.62 / $54.83 / $531.33	Professional	50	$43.62	$54.83	$531.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $1,254.00 / $4,050.00	Facility		$35.47	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $47.89	Professional		$35.47	$35.47	$47.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Facility		$41.84	$41.84	$41.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $109.85 / $427.62	Professional		$27.86	$109.85	$427.62
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.52 / $75.00 / $332.00	Facility		$28.52	$75.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.52 / $55.07 / $156.94	Professional		$38.52	$55.07	$156.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.24 / $31.24 / $31.24	Facility		$31.24	$31.24	$31.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $48.46 / $229.98	Professional		$28.13	$48.46	$229.98
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.33 / $49.33 / $49.33	Professional		$49.33	$49.33	$49.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.84 / $555.00 / $597.00	Facility		$41.84	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.39 / $94.15 / $456.66	Professional		$30.39	$94.15	$456.66
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 $30.32 / $48.87 / $279.89	Professional		$30.32	$48.87	$279.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $28.97 / $415.86	Facility		$28.97	$28.97	$415.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.24 / $45.85 / $229.98	Professional		$31.24	$45.85	$229.98