Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.80 / $2,916.71 / $8,485.92	Facility		$99.80	$2,916.71	$8,485.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,020.67 / $4,797.00 / $10,517.90	Facility	50	$3,020.67	$4,797.00	$10,517.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $116.40 / $231.12	Professional		$61.87	$116.40	$231.12
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $196.78 / $275.77 / $460.35	Professional	50	$196.78	$275.77	$460.35
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 $80.91 / $105.98 / $294.95	Professional		$80.91	$105.98	$294.95
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $124.21 / $162.16 / $450.75	Professional	50	$124.21	$162.16	$450.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $77.80 / $1,254.00 / $4,050.00	Facility		$77.80	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $77.80 / $77.80 / $137.47	Professional		$77.80	$77.80	$137.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $93.73 / $93.73	Facility		$93.73	$93.73	$93.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $152.01 / $396.84	Professional		$67.26	$152.01	$396.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $64.95 / $92.50 / $332.00	Facility		$64.95	$92.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $147.56 / $218.03	Professional		$105.60	$147.56	$218.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.68 / $90.68 / $90.68	Facility		$90.68	$90.68	$90.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.45 / $125.91 / $207.32	Professional		$82.45	$125.91	$207.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,382.12 / $3,382.12 / $3,382.12	Facility		$3,382.12	$3,382.12	$3,382.12
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,362.29 / $1,371.08 / $4,780.92	Facility	50	$1,362.29	$1,371.08	$4,780.92
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $93.73 / $555.00 / $597.00	Facility		$93.73	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $150.05 / $400.67	Professional		$72.25	$150.05	$400.67
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 $83.35 / $129.46 / $313.43	Professional		$83.35	$129.46	$313.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $63.52 / $378.69	Facility		$63.52	$63.52	$378.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $90.68 / $133.07 / $207.32	Professional		$90.68	$133.07	$207.32