Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.07 / $2,920.00 / $10,024.57	Facility		$161.07	$2,920.00	$10,024.57
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $208.30 / $690.67 / $920.89	Facility	50	$208.30	$690.67	$920.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.42 / $156.27 / $342.47	Professional		$120.42	$156.27	$342.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $217.52 / $397.21 / $901.50	Professional	50	$217.52	$397.21	$901.50
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 $125.12 / $157.03 / $349.18	Professional		$125.12	$157.03	$349.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $187.68 / $233.07 / $522.30	Professional	50	$187.68	$233.07	$522.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $164.67 / $164.67 / $4,050.00	Facility		$164.67	$164.67	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $164.67 / $164.67 / $189.98	Professional		$164.67	$164.67	$189.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $198.85 / $198.85	Facility		$198.85	$198.85	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.41 / $207.11 / $553.58	Professional		$121.41	$207.11	$553.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $173.00 / $332.00	Facility		$100.00	$173.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.68 / $211.29 / $311.89	Professional		$148.68	$211.29	$311.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.68 / $127.68 / $127.68	Facility		$127.68	$127.68	$127.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $151.80 / $290.27	Professional		$111.89	$151.80	$290.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $447.10 / $447.10 / $1,387.28	Facility		$447.10	$447.10	$1,387.28
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,769.43 / $1,815.75 / $2,152.83	Facility	50	$1,769.43	$1,815.75	$2,152.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $198.85 / $555.00 / $36,596.00	Facility		$198.85	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $208.76 / $533.61	Professional		$130.25	$208.76	$533.61
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 $125.11 / $192.51 / $442.05	Professional		$125.11	$192.51	$442.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.34 / $138.34 / $604.74	Facility		$138.34	$138.34	$604.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $135.81 / $167.31 / $302.81	Professional		$135.81	$167.31	$302.81