Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $2,559.00 / $15,267.62	Facility		$82.02	$2,559.00	$15,267.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.34 / $102.16 / $306.38	Professional		$57.34	$102.16	$306.38
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 $75.77 / $95.23 / $262.06	Professional		$75.77	$95.23	$262.06
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $116.25 / $143.58 / $397.24	Professional	50	$116.25	$143.58	$397.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $4,050.00	Facility		$75.09	$75.09	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.09 / $75.09 / $127.61	Professional		$75.09	$75.09	$127.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $109.26 / $109.26	Facility		$109.26	$109.26	$109.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $129.54 / $349.59	Professional		$63.11	$129.54	$349.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $106.34 / $332.00	Facility		$74.23	$106.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $122.58 / $179.03 / $367.57	Professional		$122.58	$179.03	$367.57
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.12 / $108.12 / $108.12	Facility		$108.12	$108.12	$108.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.19 / $135.26 / $245.67	Professional		$59.19	$135.26	$245.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $188.71 / $617.30 / $4,472.12	Facility		$188.71	$617.30	$4,472.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.26 / $555.00 / $36,596.00	Facility		$109.26	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.62 / $135.59 / $360.54	Professional		$70.62	$135.59	$360.54
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 $79.13 / $131.85 / $313.58	Professional		$79.13	$131.85	$313.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $73.51 / $73.51 / $364.43	Facility		$73.51	$73.51	$364.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $73.51 / $144.84 / $245.67	Professional		$73.51	$144.84	$245.67