Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.05 / $2,900.00 / $8,593.90	Facility		$324.05	$2,900.00	$8,593.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,637.05 / $3,519.43 / $11,051.80	Facility	50	$1,637.05	$3,519.43	$11,051.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $418.40 / $1,082.78	Professional		$208.71	$418.40	$1,082.78
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $308.87 / $679.33 / $2,737.14	Professional	50	$308.87	$679.33	$2,737.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.00 / $4,133.00 / $9,074.00	Facility		$2,385.00	$4,133.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.79 / $461.97 / $988.55	Professional		$333.79	$461.97	$988.55
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $503.89 / $692.95 / $1,541.41	Professional	50	$503.89	$692.95	$1,541.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $313.76 / $1,716.00 / $6,213.00	Facility		$313.76	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $313.76 / $313.76 / $597.84	Professional		$313.76	$313.76	$597.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $326.10 / $326.10	Facility		$326.10	$326.10	$326.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.25 / $509.53 / $1,314.03	Professional		$226.25	$509.53	$1,314.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $206.00 / $294.00 / $502.25	Facility		$206.00	$294.00	$502.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $468.72 / $712.43 / $1,139.96	Professional		$468.72	$712.43	$1,139.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.50 / $402.50 / $402.50	Facility		$402.50	$402.50	$402.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $502.07 / $930.98	Professional		$300.35	$502.07	$930.98
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $704.19 / $704.19 / $704.19	Professional	50	$704.19	$704.19	$704.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.49 / $2,398.94 / $5,859.13	Facility		$1,288.49	$2,398.94	$5,859.13
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $469.22 / $4,222.85 / $5,182.08	Facility	50	$469.22	$4,222.85	$5,182.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $421.92 / $421.92 / $421.92	Professional		$421.92	$421.92	$421.92
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $911.45 / $911.45 / $911.45	Professional	50	$911.45	$911.45	$911.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $326.10 / $555.00 / $597.00	Facility		$326.10	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $206.17 / $539.59 / $1,319.35	Professional		$206.17	$539.59	$1,319.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,399.00 / $10,452.00	Facility		$1,925.00	$4,399.00	$10,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.90 / $574.54 / $1,314.84	Professional		$367.90	$574.54	$1,314.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $224.55 / $224.55 / $732.20	Facility		$224.55	$224.55	$732.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $300.35 / $512.55 / $930.98	Professional		$300.35	$512.55	$930.98