Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $2,660.00 / $10,965.00	Facility		$150.86	$2,660.00	$10,965.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $986.67 / $3,017.60 / $11,715.06	Facility	50	$986.67	$3,017.60	$11,715.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.82 / $134.08 / $304.26	Professional		$97.82	$134.08	$304.26
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $130.52 / $298.86 / $834.00	Professional	50	$130.52	$298.86	$834.00
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 $129.84 / $165.51 / $318.82	Professional		$129.84	$165.51	$318.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $197.56 / $249.21 / $478.23	Professional	50	$197.56	$249.21	$478.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $150.97 / $150.97 / $4,050.00	Facility		$150.97	$150.97	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $150.97 / $189.65	Professional		$150.97	$150.97	$189.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $186.13 / $14,648.00	Facility		$186.13	$186.13	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.86 / $192.31 / $528.67	Professional		$119.86	$192.31	$528.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $118.90 / $180.00 / $332.00	Facility		$118.90	$180.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $211.58 / $324.08	Professional		$148.46	$211.58	$324.08
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.49 / $127.49 / $127.49	Facility		$127.49	$127.49	$127.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.92 / $159.28 / $289.31	Professional		$104.92	$159.28	$289.31
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $512.58 / $512.58 / $1,127.13	Facility		$512.58	$512.58	$1,127.13
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,025.16 / $1,953.60 / $2,009.30	Facility	50	$1,025.16	$1,953.60	$2,009.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $186.13 / $555.00 / $36,596.00	Facility		$186.13	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.91 / $197.48 / $531.02	Professional		$127.91	$197.48	$531.02
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 $117.18 / $185.59 / $439.67	Professional		$117.18	$185.59	$439.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $125.53 / $125.53 / $285.64	Facility		$125.53	$125.53	$285.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $170.56 / $289.31	Professional		$118.49	$170.56	$289.31