Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.71 / $2,559.00 / $9,540.00	Facility		$129.71	$2,559.00	$9,540.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.37 / $126.99 / $291.94	Professional		$94.37	$126.99	$291.94
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 $97.07 / $123.08 / $277.14	Professional		$97.07	$123.08	$277.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $1,254.00 / $4,050.00	Facility		$150.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $150.97 / $176.28	Professional		$150.97	$150.97	$176.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $187.40 / $14,648.00	Facility		$187.40	$187.40	$14,648.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $180.36 / $512.33	Professional		$114.72	$180.36	$512.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $99.00 / $172.01 / $332.00	Facility		$99.00	$172.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $141.78 / $201.26 / $308.27	Professional		$141.78	$201.26	$308.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Facility		$121.75	$121.75	$121.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.78 / $129.54 / $276.81	Professional		$69.78	$129.54	$276.81
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $476.30 / $476.30 / $476.30	Facility		$476.30	$476.30	$476.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $187.40 / $555.00 / $36,596.00	Facility		$187.40	$555.00	$36,596.00
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $149.91 / $149.91 / $149.91	Facility	52	$149.91	$149.91	$149.91
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $109.76 / $178.58 / $497.90	Professional		$109.76	$178.58	$497.90
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 $107.22 / $170.51 / $398.97	Professional		$107.22	$170.51	$398.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $130.16 / $130.16 / $307.45	Facility		$130.16	$130.16	$307.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $89.28 / $166.94 / $284.91	Professional		$89.28	$166.94	$284.91