Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.75 / $3,316.00 / $7,343.00	Facility		$141.75	$3,316.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.76 / $139.06 / $226.09	Professional		$102.76	$139.06	$226.09
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 $96.16 / $121.92 / $285.83	Professional		$96.16	$121.92	$285.83
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $144.24 / $182.89 / $428.76	Professional	50	$144.24	$182.89	$428.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $126.74 / $1,254.00 / $4,050.00	Facility		$126.74	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $126.74 / $126.74 / $168.28	Professional		$126.74	$126.74	$168.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $149.79 / $1,685.80	Facility		$149.79	$149.79	$1,685.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.57 / $143.81 / $309.76	Professional		$82.57	$143.81	$309.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $148.76 / $332.00	Facility		$100.00	$148.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $131.71 / $161.24 / $250.86	Professional		$131.71	$161.24	$250.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $132.25 / $251.79	Professional		$80.33	$132.25	$251.79
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $141.62 / $141.62	Professional		$141.62	$141.62	$141.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.63 / $141.16 / $145.68	Professional		$139.63	$141.16	$145.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $149.79 / $597.00 / $74,999.25	Facility		$149.79	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $97.08 / $154.91 / $353.50	Professional		$97.08	$154.91	$353.50
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 $101.16 / $135.71 / $263.64	Professional		$101.16	$135.71	$263.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $120.52 / $120.52 / $412.08	Facility		$120.52	$120.52	$412.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $141.78 / $364.82	Professional		$80.33	$141.78	$364.82