Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.17 / $2,143.75 / $7,089.22	Facility		$92.17	$2,143.75	$7,089.22
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $717.98 / $3,559.41 / $10,081.00	Facility	50	$717.98	$3,559.41	$10,081.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.59 / $177.66 / $628.71	Professional		$55.59	$177.66	$628.71
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $84.44 / $258.81 / $611.44	Professional	50	$84.44	$258.81	$611.44
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 $101.15 / $256.42 / $453.84	Professional		$101.15	$256.42	$453.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $216.29 / $384.64 / $682.32	Professional	50	$216.29	$384.64	$682.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $84.57 / $1,254.00 / $6,213.00	Facility		$84.57	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $247.86	Professional		$84.57	$84.57	$247.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $100.61 / $14,648.00	Facility		$100.61	$100.61	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.43 / $200.51 / $568.23	Professional		$65.43	$200.51	$568.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.35 / $96.00 / $332.00	Facility		$61.35	$96.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $251.47 / $337.96 / $519.94	Professional		$251.47	$337.96	$519.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $215.95 / $215.95 / $215.95	Facility		$215.95	$215.95	$215.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $235.92 / $504.12	Professional		$126.53	$235.92	$504.12
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $381.87 / $381.87 / $381.87	Professional	50	$381.87	$381.87	$381.87
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.60 / $1,407.62 / $3,489.44	Facility		$568.60	$1,407.62	$3,489.44
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,066.95 / $1,066.95 / $2,446.50	Facility	50	$1,066.95	$1,066.95	$2,446.50
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.50 / $173.50 / $173.50	Professional		$173.50	$173.50	$173.50
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $375.71 / $375.71 / $375.71	Professional	50	$375.71	$375.71	$375.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $100.61 / $555.00 / $597.00	Facility		$100.61	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.73 / $217.50 / $599.24	Professional		$71.73	$217.50	$599.24
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 $160.16 / $258.55 / $598.07	Professional		$160.16	$258.55	$598.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.16 / $68.16 / $215.95	Facility		$68.16	$68.16	$215.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $269.37 / $504.12	Professional		$126.53	$269.37	$504.12