Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.36 / $2,345.00 / $10,965.00	Facility		$87.36	$2,345.00	$10,965.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.59 / $94.18 / $251.03	Professional		$58.59	$94.18	$251.03
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $122.61 / $211.29 / $457.57	Professional	50	$122.61	$211.29	$457.57
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 $78.54 / $100.16 / $223.79	Professional		$78.54	$100.16	$223.79
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $119.56 / $150.94 / $338.70	Professional	50	$119.56	$150.94	$338.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $86.75 / $1,254.00 / $4,050.00	Facility		$86.75	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $86.75 / $86.75 / $139.75	Professional		$86.75	$86.75	$139.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $102.18 / $14,648.00	Facility		$102.18	$102.18	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $123.21 / $350.00	Professional		$67.94	$123.21	$350.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.00 / $78.43 / $332.00	Facility		$41.00	$78.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.85 / $146.12 / $214.31	Professional		$102.85	$146.12	$214.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.71 / $90.71 / $90.71	Facility		$90.71	$90.71	$90.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $96.65 / $206.52	Professional		$58.93	$96.65	$206.52
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.69 / $137.69 / $137.69	Professional		$137.69	$137.69	$137.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $102.18 / $555.00 / $36,596.00	Facility		$102.18	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.83 / $139.71 / $350.00	Professional		$72.83	$139.71	$350.00
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.04 / $133.06 / $300.56	Professional		$88.04	$133.06	$300.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.98 / $69.98 / $201.14	Facility		$69.98	$69.98	$201.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.67 / $124.38 / $206.52	Professional		$67.67	$124.38	$206.52