Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.15 / $3,621.00 / $13,018.85	Facility		$150.15	$3,621.00	$13,018.85
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,473.14 / $2,313.19 / $8,528.12	Facility	50	$1,473.14	$2,313.19	$8,528.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.29 / $171.49 / $455.51	Professional		$87.29	$171.49	$455.51
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $124.44 / $280.68 / $1,472.00	Professional	50	$124.44	$280.68	$1,472.00
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 $130.22 / $166.68 / $426.43	Professional		$130.22	$166.68	$426.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $201.30 / $255.04 / $644.76	Professional	50	$201.30	$255.04	$644.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $127.94 / $1,254.00 / $4,050.00	Facility		$127.94	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.94 / $127.94 / $252.56	Professional		$127.94	$127.94	$252.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $153.97 / $153.97	Facility		$153.97	$153.97	$153.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.13 / $213.59 / $640.75	Professional		$102.13	$213.59	$640.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.00 / $129.15 / $332.00	Facility		$61.00	$129.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $191.79 / $295.98 / $1,539.59	Professional		$191.79	$295.98	$1,539.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.69 / $164.69 / $164.69	Facility		$164.69	$164.69	$164.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $175.29 / $374.57	Professional		$108.19	$175.29	$374.57
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $288.52 / $288.52 / $494.09	Professional	50	$288.52	$288.52	$494.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $376.50 / $421.76 / $2,339.29	Facility		$376.50	$421.76	$2,339.29
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $168.14 / $697.90 / $3,667.37	Facility	50	$168.14	$697.90	$3,667.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $174.16 / $251.02 / $252.40	Professional		$174.16	$251.02	$252.40
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $197.75 / $376.53 / $376.53	Professional	50	$197.75	$376.53	$376.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $153.97 / $555.00 / $36,596.00	Facility		$153.97	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.39 / $232.67 / $603.36	Professional		$109.39	$232.67	$603.36
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 $153.63 / $242.73 / $601.66	Professional		$153.63	$242.73	$601.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $105.36 / $105.36 / $298.07	Facility		$105.36	$105.36	$298.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $108.19 / $225.82 / $374.57	Professional		$108.19	$225.82	$374.57