Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.09 / $2,739.00 / $7,095.00	Facility		$92.09	$2,739.00	$7,095.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,842.71 / $3,651.50 / $6,605.21	Facility	50	$2,842.71	$3,651.50	$6,605.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.98 / $197.18 / $544.90	Professional		$62.98	$197.18	$544.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $93.56 / $287.30 / $578.92	Professional	50	$93.56	$287.30	$578.92
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 $115.73 / $271.35 / $485.20	Professional		$115.73	$271.35	$485.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $248.74 / $407.02 / $727.80	Professional	50	$248.74	$407.02	$727.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $96.19 / $1,254.00 / $6,213.00	Facility		$96.19	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $96.19 / $96.19 / $271.89	Professional		$96.19	$96.19	$271.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $114.34 / $14,648.00	Facility		$114.34	$114.34	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.92 / $223.89 / $625.33	Professional		$74.92	$223.89	$625.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $111.00 / $332.00	Facility		$69.67	$111.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $268.14 / $402.53 / $751.02	Professional		$268.14	$402.53	$751.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.26 / $230.26 / $230.26	Facility		$230.26	$230.26	$230.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $251.37 / $537.14	Professional		$140.57	$251.37	$537.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.59 / $279.05 / $3,764.00	Facility		$142.59	$279.05	$3,764.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $275.39 / $275.39	Professional		$275.39	$275.39	$275.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $114.34 / $555.00 / $597.00	Facility		$114.34	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $81.23 / $236.79 / $652.80	Professional		$81.23	$236.79	$652.80
United Facility/Professional Facility Modifier Low / Median / High Price $835.00 / $2,786.00 / $4,840.00	Facility		$835.00	$2,786.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.09 / $272.82 / $654.34	Professional		$176.09	$272.82	$654.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.90 / $77.90 / $230.26	Facility		$77.90	$77.90	$230.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $140.57 / $295.73 / $537.14	Professional		$140.57	$295.73	$537.14