Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $152.40 / $2,660.00 / $10,517.90	Facility		$152.40	$2,660.00	$10,517.90
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,457.95 / $5,457.95 / $8,383.50	Facility	50	$5,457.95	$5,457.95	$8,383.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.30 / $207.71 / $455.22	Professional		$111.30	$207.71	$455.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $799.58 / $799.58 / $799.58	Professional	50	$799.58	$799.58	$799.58
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 $160.04 / $261.04 / $424.11	Professional		$160.04	$261.04	$424.11
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $257.52 / $391.56 / $636.16	Professional	50	$257.52	$391.56	$636.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $167.72 / $167.72 / $4,050.00	Facility		$167.72	$167.72	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $167.72 / $167.72 / $361.09	Professional		$167.72	$167.72	$361.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $203.89 / $203.89	Facility		$203.89	$203.89	$203.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.12 / $264.87 / $619.23	Professional		$124.12	$264.87	$619.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $153.75 / $332.00	Facility		$75.00	$153.75	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.79 / $375.08 / $550.74	Professional		$263.79	$375.08	$550.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $230.48 / $230.48 / $230.48	Facility		$230.48	$230.48	$230.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.76 / $245.08 / $523.71	Professional		$198.76	$245.08	$523.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,694.24 / $2,694.24 / $3,187.06	Facility		$2,694.24	$2,694.24	$3,187.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $237.90 / $346.21 / $370.35	Professional		$237.90	$346.21	$370.35
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $203.89 / $555.00 / $36,596.00	Facility		$203.89	$555.00	$36,596.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $131.80 / $298.55 / $698.16	Professional		$131.80	$298.55	$698.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.00 / $3,496.00 / $6,201.00	Facility		$1,348.00	$3,496.00	$6,201.00
United Facility/Professional Professional Modifier Low / Median / High Price $216.27 / $329.18 / $759.57	Professional		$216.27	$329.18	$759.57
Univera Facility/Professional Facility Modifier Low / Median / High Price $138.77 / $138.77 / $867.20	Facility		$138.77	$138.77	$867.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $303.75 / $523.71	Professional		$213.86	$303.75	$523.71