Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.13 / $2,539.03 / $7,839.00	Facility		$40.13	$2,539.03	$7,839.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $48.67 / $109.77	Professional		$34.28	$48.67	$109.77
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $30.01 / $30.01 / $116.31	Professional	50	$30.01	$30.01	$116.31
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 $24.86 / $32.50 / $119.18	Professional		$24.86	$32.50	$119.18
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.29 / $48.75 / $176.22	Professional	50	$37.29	$48.75	$176.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $41.28 / $4,050.00	Facility		$41.28	$41.28	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $41.28 / $41.76	Professional		$41.28	$41.28	$41.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $32.22 / $14,648.00	Facility		$32.22	$32.22	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $50.62 / $113.87	Professional		$27.42	$50.62	$113.87
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.78 / $47.90 / $332.00	Facility		$33.78	$47.90	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.31 / $37.85 / $59.24	Professional		$31.31	$37.85	$59.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $37.90 / $52.82	Professional		$26.69	$37.90	$52.82
Fidelis Facility/Professional Professional Modifier 50 Low / Median / High Price $21.02 / $21.02 / $21.02	Professional	50	$21.02	$21.02	$21.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $37.45 / $39.56	Professional		$37.04	$37.45	$39.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.22 / $555.00 / $74,999.25	Facility		$32.22	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.22 / $50.04 / $115.62	Professional		$32.22	$50.04	$115.62
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $44.46 / $94.83	Professional		$30.53	$44.46	$94.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $134.51	Facility		$39.47	$39.47	$134.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $39.47 / $73.95	Professional		$26.09	$39.47	$73.95