Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.87 / $2,842.00 / $7,307.00	Facility		$106.87	$2,842.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $856.76 / $856.76 / $2,994.74	Facility	50	$856.76	$856.76	$2,994.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.71 / $123.26 / $277.14	Professional		$62.71	$123.26	$277.14
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $227.09 / $227.09 / $227.09	Professional	50	$227.09	$227.09	$227.09
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 $85.42 / $116.86 / $286.79	Professional		$85.42	$116.86	$286.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $140.22 / $179.48 / $432.04	Professional	50	$140.22	$179.48	$432.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.48 / $78.48 / $4,050.00	Facility		$78.48	$78.48	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $78.48 / $162.51	Professional		$78.48	$78.48	$162.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $92.61 / $92.61	Facility		$92.61	$92.61	$92.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.13 / $156.21 / $421.92	Professional		$67.13	$156.21	$421.92
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.02 / $91.76 / $332.00	Facility		$64.02	$91.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.35 / $164.74 / $241.73	Professional		$118.35	$164.74	$241.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.63 / $101.63 / $101.63	Facility		$101.63	$101.63	$101.63
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $124.54 / $233.41	Professional		$92.83	$124.54	$233.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,175.31 / $1,175.31 / $1,371.39	Facility		$1,175.31	$1,175.31	$1,371.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.61 / $555.00 / $597.00	Facility		$92.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.40 / $160.63 / $425.00	Professional		$80.40	$160.63	$425.00
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 $99.20 / $153.53 / $358.91	Professional		$99.20	$153.53	$358.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.31 / $63.31 / $434.82	Facility		$63.31	$63.31	$434.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $137.80 / $233.41	Professional		$101.63	$137.80	$233.41