Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $103.75 / $2,626.00 / $10,152.00	Facility		$103.75	$2,626.00	$10,152.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $530.63 / $530.63 / $530.63	Facility	50	$530.63	$530.63	$530.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $116.18 / $196.39	Professional		$88.26	$116.18	$196.39
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $100.38 / $148.08 / $291.56	Professional	50	$100.38	$148.08	$291.56
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 $78.81 / $99.93 / $250.71	Professional		$78.81	$99.93	$250.71
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.22 / $149.90 / $376.08	Professional	50	$118.22	$149.90	$376.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.24 / $109.24 / $4,050.00	Facility		$109.24	$109.24	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $109.24 / $134.07	Professional		$109.24	$109.24	$134.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $129.79 / $14,648.00	Facility		$129.79	$129.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $115.20 / $261.81	Professional		$71.56	$115.20	$261.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $95.97 / $332.00	Facility		$35.00	$95.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $105.07 / $127.96 / $200.44	Professional		$105.07	$127.96	$200.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $114.73 / $177.54	Professional		$66.59	$114.73	$177.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.25 / $116.07 / $117.35	Professional		$88.25	$116.07	$117.35
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $145.31 / $174.11 / $175.07	Professional	50	$145.31	$174.11	$175.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $129.79 / $555.00 / $74,999.25	Facility		$129.79	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.84 / $119.22 / $278.06	Professional		$74.84	$119.22	$278.06
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 $78.63 / $108.90 / $230.87	Professional		$78.63	$108.90	$230.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $108.31 / $292.33	Facility		$108.31	$108.31	$292.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $110.24 / $237.44	Professional		$66.59	$110.24	$237.44