Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.17 / $2,159.00 / $10,170.00	Facility		$76.17	$2,159.00	$10,170.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $610.64 / $1,644.79 / $22,901.43	Facility	50	$610.64	$1,644.79	$22,901.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.94 / $89.83 / $272.56	Professional		$48.94	$89.83	$272.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.41 / $148.52 / $439.19	Professional	50	$73.41	$148.52	$439.19
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 $67.42 / $87.83 / $210.54	Professional		$67.42	$87.83	$210.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $105.07 / $131.74 / $317.83	Professional	50	$105.07	$131.74	$317.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $73.33 / $73.33 / $16,534.50	Facility		$73.33	$73.33	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.33 / $73.33 / $129.66	Professional		$73.33	$73.33	$129.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $86.87 / $14,648.00	Facility		$86.87	$86.87	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $113.27 / $305.91	Professional		$57.99	$113.27	$305.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $66.65 / $332.00	Facility		$35.00	$66.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.33 / $149.46 / $924.02	Professional		$98.33	$149.46	$924.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.44 / $84.44 / $84.44	Facility		$84.44	$84.44	$84.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $105.88 / $192.31	Professional		$52.27	$105.88	$192.31
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $146.72 / $146.72 / $251.75	Professional	50	$146.72	$146.72	$251.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.09 / $199.46 / $1,227.00	Facility		$71.09	$199.46	$1,227.00
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $100.50 / $234.61 / $1,840.50	Facility	50	$100.50	$234.61	$1,840.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $126.28 / $127.67	Professional		$87.83	$126.28	$127.67
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $189.42 / $189.42 / $190.47	Professional	50	$189.42	$189.42	$190.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.87 / $555.00 / $36,596.00	Facility		$86.87	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.48 / $118.95 / $303.00	Professional		$62.48	$118.95	$303.00
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 $79.03 / $122.70 / $271.89	Professional		$79.03	$122.70	$271.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.09 / $59.09 / $170.08	Facility		$59.09	$59.09	$170.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.09 / $115.79 / $192.31	Professional		$59.09	$115.79	$192.31