Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.25 / $2,626.00 / $7,307.00	Facility		$160.25	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.91 / $218.41 / $451.67	Professional		$100.91	$218.41	$451.67
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 $229.30 / $298.89 / $583.12	Professional		$229.30	$298.89	$583.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $357.33 / $449.05 / $887.25	Professional	50	$357.33	$449.05	$887.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $163.57 / $163.57 / $6,213.00	Facility		$163.57	$163.57	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $163.57 / $163.57 / $393.70	Professional		$163.57	$163.57	$393.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $222.28 / $14,648.00	Facility		$189.28	$222.28	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $239.28 / $575.65	Professional		$98.25	$239.28	$575.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $139.19 / $332.00	Facility		$35.00	$139.19	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $344.87 / $545.60	Professional		$286.64	$344.87	$545.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $249.22 / $494.09	Professional		$142.38	$249.22	$494.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $321.13 / $321.13 / $340.84	Professional		$321.13	$321.13	$340.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $189.28 / $555.00 / $74,999.25	Facility		$189.28	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $105.37 / $305.52 / $642.30	Professional		$105.37	$305.52	$642.30
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 $225.30 / $296.20 / $641.79	Professional		$225.30	$296.20	$641.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $159.97 / $159.97 / $340.94	Facility		$159.97	$159.97	$340.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $273.68 / $566.55	Professional		$142.38	$273.68	$566.55