Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.26 / $2,660.00 / $7,235.00	Facility		$134.26	$2,660.00	$7,235.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,257.31 / $5,257.31 / $5,257.31	Facility	50	$5,257.31	$5,257.31	$5,257.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $153.50 / $311.89	Professional		$85.00	$153.50	$311.89
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 $135.88 / $168.74 / $421.29	Professional		$135.88	$168.74	$421.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $133.97 / $133.97 / $6,213.00	Facility		$133.97	$133.97	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $133.97 / $133.97 / $263.83	Professional		$133.97	$133.97	$263.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $159.44 / $688.55	Facility		$159.44	$159.44	$688.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $166.59 / $428.08	Professional		$79.52	$166.59	$428.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.16 / $163.07 / $332.00	Facility		$113.16	$163.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $240.03 / $378.92	Professional		$199.43	$240.03	$378.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $165.54 / $382.07	Professional		$99.04	$165.54	$382.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.11 / $116.11 / $116.11	Professional		$116.11	$116.11	$116.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $159.44 / $597.00 / $74,999.25	Facility		$159.44	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $208.17 / $449.99	Professional		$88.64	$208.17	$449.99
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 $154.09 / $204.03 / $443.94	Professional		$154.09	$204.03	$443.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $129.52 / $129.52 / $304.93	Facility		$129.52	$129.52	$304.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $99.04 / $240.82 / $467.26	Professional		$99.04	$240.82	$467.26