Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $2,900.00 / $7,307.00	Facility		$94.42	$2,900.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.04 / $82.89 / $168.27	Professional		$61.04	$82.89	$168.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $138.69 / $138.69 / $138.69	Professional	50	$138.69	$138.69	$138.69
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 $71.01 / $89.89 / $184.51	Professional		$71.01	$89.89	$184.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $106.52 / $135.06 / $278.82	Professional	50	$106.52	$135.06	$278.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $4,050.00	Facility		$96.00	$96.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $96.00 / $115.57	Professional		$96.00	$96.00	$115.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $66.01 / $114.91	Facility		$66.01	$66.01	$114.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.43 / $98.71 / $227.46	Professional		$58.43	$98.71	$227.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.00 / $84.03 / $332.00	Facility		$40.00	$84.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $90.35 / $110.64 / $172.36	Professional		$90.35	$110.64	$172.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $76.30 / $151.47	Professional		$42.56	$76.30	$151.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $94.70 / $94.70	Professional		$94.70	$94.70	$94.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $555.00 / $74,999.25	Facility		$66.01	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $100.53 / $227.65	Professional		$64.45	$100.53	$227.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,500.00 / $3,908.00 / $8,133.00	Facility		$1,500.00	$3,908.00	$8,133.00
United Facility/Professional Professional Modifier Low / Median / High Price $68.51 / $90.54 / $186.34	Professional		$68.51	$90.54	$186.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.43 / $94.43 / $215.69	Facility		$94.43	$94.43	$215.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.56 / $94.43 / $192.24	Professional		$42.56	$94.43	$192.24