Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.12 / $2,892.00 / $8,907.44	Facility		$223.12	$2,892.00	$8,907.44
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,920.37 / $3,920.37 / $3,920.37	Facility	50	$3,920.37	$3,920.37	$3,920.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.03 / $251.21 / $655.35	Professional		$138.03	$251.21	$655.35
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $342.56 / $377.10 / $388.74	Professional	50	$342.56	$377.10	$388.74
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 $249.52 / $309.86 / $647.63	Professional		$249.52	$309.86	$647.63
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $374.28 / $464.79 / $971.44	Professional	50	$374.28	$464.79	$971.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $219.36 / $1,716.00 / $6,213.00	Facility		$219.36	$1,716.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $219.36 / $219.36 / $407.48	Professional		$219.36	$219.36	$407.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $259.39 / $266.29	Facility		$259.39	$259.39	$266.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.10 / $274.72 / $645.80	Professional		$139.10	$274.72	$645.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $189.38 / $395.60	Facility		$95.00	$189.38	$395.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $304.22 / $367.46 / $578.86	Professional		$304.22	$367.46	$578.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $254.85 / $512.91	Professional		$159.62	$254.85	$512.91
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $245.76 / $245.76 / $245.76	Professional		$245.76	$245.76	$245.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $360.20 / $3,168.82	Facility		$50.00	$360.20	$3,168.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $332.35 / $356.64	Professional		$162.16	$332.35	$356.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $259.39 / $555.00 / $74,999.25	Facility		$259.39	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $338.08 / $699.71	Professional		$150.00	$338.08	$699.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $3,612.00 / $7,203.00	Facility		$1,768.00	$3,612.00	$7,203.00
United Facility/Professional Professional Modifier Low / Median / High Price $242.48 / $319.52 / $628.90	Professional		$242.48	$319.52	$628.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $212.94 / $212.94 / $488.66	Facility		$212.94	$212.94	$488.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $159.62 / $284.11 / $588.14	Professional		$159.62	$284.11	$588.14