Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.34 / $2,842.00 / $7,307.00	Facility		$124.34	$2,842.00	$7,307.00
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 $83.64 / $115.38 / $179.16	Professional		$83.64	$115.38	$179.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $140.09 / $140.09 / $140.09	Professional	50	$140.09	$140.09	$140.09
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 $80.20 / $104.85 / $246.02	Professional		$80.20	$104.85	$246.02
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $120.31 / $157.27 / $365.97	Professional	50	$120.31	$157.27	$365.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $138.82 / $138.82 / $4,050.00	Facility		$138.82	$138.82	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $138.82 / $138.82 / $145.50	Professional		$138.82	$138.82	$145.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $92.50 / $163.47	Facility		$92.50	$92.50	$163.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.77 / $130.65 / $326.89	Professional		$82.77	$130.65	$326.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $120.81 / $332.00	Facility		$35.00	$120.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $140.53 / $220.14	Professional		$115.55	$140.53	$220.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $96.92 / $192.87	Professional		$61.92	$96.92	$192.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.92 / $105.13 / $125.97	Professional		$96.92	$105.13	$125.97
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $180.29 / $180.29 / $188.96	Professional	50	$180.29	$180.29	$188.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.50 / $555.00 / $74,999.25	Facility		$92.50	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.39 / $133.27 / $347.27	Professional		$83.39	$133.27	$347.27
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 $90.70 / $118.99 / $261.14	Professional		$90.70	$118.99	$261.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $136.24 / $136.24 / $288.58	Facility		$136.24	$136.24	$288.58
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.92 / $136.24 / $257.69	Professional		$61.92	$136.24	$257.69