Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.09 / $2,660.00 / $7,343.00	Facility		$79.09	$2,660.00	$7,343.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $83.14 / $154.91	Professional		$51.07	$83.14	$154.91
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.51 / $108.51 / $225.04	Professional	50	$108.51	$108.51	$225.04
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 $42.54 / $55.61 / $189.35	Professional		$42.54	$55.61	$189.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $63.81 / $83.41 / $284.02	Professional	50	$63.81	$83.41	$284.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.11 / $66.11 / $4,050.00	Facility		$66.11	$66.11	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $66.11 / $72.31	Professional		$66.11	$66.11	$72.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $32.33 / $78.14	Facility		$32.33	$32.33	$78.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $78.63 / $202.75	Professional		$42.19	$78.63	$202.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.00 / $67.38 / $332.00	Facility		$38.00	$67.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.67 / $68.23 / $106.38	Professional		$55.67	$68.23	$106.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.52 / $63.47 / $94.56	Professional		$44.52	$63.47	$94.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $949.60 / $949.60 / $949.60	Facility		$949.60	$949.60	$949.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $64.52 / $68.53	Professional		$61.96	$64.52	$68.53
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $71.33 / $92.94 / $102.80	Professional	50	$71.33	$92.94	$102.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.33 / $555.00 / $74,999.25	Facility		$32.33	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.63 / $82.87 / $202.78	Professional		$48.63	$82.87	$202.78
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 $46.26 / $69.17 / $158.88	Professional		$46.26	$69.17	$158.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $63.59 / $217.06	Facility		$63.59	$63.59	$217.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $41.80 / $63.59 / $128.09	Professional		$41.80	$63.59	$128.09