Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.40 / $1,854.00 / $7,307.00	Facility		$76.40	$1,854.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $915.96 / $8,775.00 / $8,775.00	Facility	50	$915.96	$8,775.00	$8,775.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.64 / $85.93 / $221.95	Professional		$49.64	$85.93	$221.95
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $32.08 / $129.26 / $403.76	Professional	50	$32.08	$129.26	$403.76
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 $67.56 / $87.69 / $205.57	Professional		$67.56	$87.69	$205.57
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $104.67 / $132.93 / $313.05	Professional	50	$104.67	$132.93	$313.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.28 / $74.28 / $16,534.50	Facility		$74.28	$74.28	$16,534.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $74.28 / $129.66	Professional		$74.28	$74.28	$129.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $87.34 / $14,648.00	Facility		$87.34	$87.34	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $113.34 / $303.00	Professional		$58.78	$113.34	$303.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $67.27 / $332.00	Facility		$35.00	$67.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.72 / $134.27 / $216.01	Professional		$94.72	$134.27	$216.01
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $83.66 / $83.66	Facility		$83.66	$83.66	$83.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $105.88 / $192.31	Professional		$53.07	$105.88	$192.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $190.30 / $190.30 / $190.30	Facility		$190.30	$190.30	$190.30
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $165.73 / $165.73 / $165.73	Facility	50	$165.73	$165.73	$165.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $555.00 / $36,596.00	Facility		$87.34	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $128.01 / $303.00	Professional		$63.32	$128.01	$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 $81.68 / $124.49 / $307.14	Professional		$81.68	$124.49	$307.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.24 / $60.24 / $172.27	Facility		$60.24	$60.24	$172.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.24 / $114.72 / $192.31	Professional		$60.24	$114.72	$192.31