Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $2,900.00 / $9,038.00	Facility		$144.54	$2,900.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $145.53 / $237.53	Professional		$106.68	$145.53	$237.53
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
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 $100.88 / $131.87 / $305.20	Professional		$100.88	$131.87	$305.20
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $151.32 / $197.80 / $464.80	Professional	50	$151.32	$197.80	$464.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $169.69 / $169.69 / $4,050.00	Facility		$169.69	$169.69	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $169.69 / $169.69 / $190.22	Professional		$169.69	$169.69	$190.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $110.47 / $201.77	Facility		$110.47	$110.47	$201.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $161.61 / $379.96	Professional		$101.12	$161.61	$379.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $148.03 / $332.00	Facility		$35.00	$148.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $180.68 / $282.64	Professional		$148.47	$180.68	$282.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $124.61 / $247.95	Professional		$100.00	$124.61	$247.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.68 / $164.68 / $164.68	Professional		$164.68	$164.68	$164.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $110.47 / $555.00 / $74,999.25	Facility		$110.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $167.21 / $398.67	Professional		$107.43	$167.21	$398.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,101.00 / $2,507.00 / $4,592.00	Facility		$1,101.00	$2,507.00	$4,592.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.43 / $146.61 / $325.43	Professional		$112.43	$146.61	$325.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $165.72 / $165.72 / $367.13	Facility		$165.72	$165.72	$367.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $165.72 / $331.23	Professional		$100.00	$165.72	$331.23