Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.56 / $2,626.00 / $9,038.00	Facility		$101.56	$2,626.00	$9,038.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,379.41 / $1,379.41 / $1,379.41	Facility	50	$1,379.41	$1,379.41	$1,379.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $128.62 / $328.50	Professional		$62.95	$128.62	$328.50
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 $105.65 / $135.22 / $323.24	Professional		$105.65	$135.22	$323.24
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $158.82 / $206.64 / $485.07	Professional	50	$158.82	$206.64	$485.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.19 / $76.19 / $4,050.00	Facility		$76.19	$76.19	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $76.19 / $181.71	Professional		$76.19	$76.19	$181.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $123.26 / $123.26	Facility		$123.26	$123.26	$123.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $167.12 / $459.44	Professional		$68.56	$167.12	$459.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $112.50 / $332.00	Facility		$75.00	$112.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $168.66 / $241.56 / $498.37	Professional		$168.66	$241.56	$498.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.83 / $144.83 / $144.83	Facility		$144.83	$144.83	$144.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.36 / $156.55 / $334.54	Professional		$114.36	$156.55	$334.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $1,312.61 / $2,630.76	Facility		$104.27	$1,312.61	$2,630.76
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $595.50 / $595.50 / $595.50	Facility	50	$595.50	$595.50	$595.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $123.26 / $555.00 / $36,596.00	Facility		$123.26	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $184.71 / $470.65	Professional		$69.23	$184.71	$470.65
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 $117.55 / $184.81 / $470.34	Professional		$117.55	$184.81	$470.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $373.92	Facility		$83.71	$83.71	$373.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.21 / $187.68 / $334.54	Professional		$126.21	$187.68	$334.54