Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.35 / $2,952.00 / $9,267.00	Facility		$122.35	$2,952.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $122.35 / $244.11	Professional		$89.37	$122.35	$244.11
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 $98.25 / $124.58 / $264.87	Professional		$98.25	$124.58	$264.87
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $147.38 / $186.88 / $404.91	Professional	50	$147.38	$186.88	$404.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $142.08 / $142.08 / $4,050.00	Facility		$142.08	$142.08	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $142.08 / $142.08 / $162.13	Professional		$142.08	$142.08	$162.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $168.65 / $14,648.00	Facility		$168.65	$168.65	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $139.94 / $348.41	Professional		$86.96	$139.94	$348.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $122.58 / $332.00	Facility		$40.00	$122.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $126.84 / $155.41 / $241.70	Professional		$126.84	$155.41	$241.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $107.18 / $211.63	Professional		$60.75	$107.18	$211.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $140.36 / $140.36	Professional		$140.36	$140.36	$140.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.65 / $555.00 / $74,999.25	Facility		$168.65	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $90.46 / $143.96 / $380.52	Professional		$90.46	$143.96	$380.52
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 $99.50 / $130.69 / $343.89	Professional		$99.50	$130.69	$343.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $137.09 / $218.97	Facility		$137.09	$137.09	$218.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.75 / $132.93 / $242.67	Professional		$60.75	$132.93	$242.67