Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $195.23 / $2,660.00 / $7,307.00	Facility		$195.23	$2,660.00	$7,307.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $877.04 / $877.04 / $877.04	Facility	50	$877.04	$877.04	$877.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.59 / $212.93 / $322.23	Professional		$151.59	$212.93	$322.23
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $98.86 / $324.68 / $403.28	Professional	50	$98.86	$324.68	$403.28
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 $132.22 / $172.85 / $456.25	Professional		$132.22	$172.85	$456.25
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $198.34 / $251.58 / $675.85	Professional	50	$198.34	$251.58	$675.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $178.32 / $1,254.00 / $4,050.00	Facility		$178.32	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $178.32 / $178.32 / $228.46	Professional		$178.32	$178.32	$228.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $211.47 / $222.28	Facility		$211.47	$211.47	$222.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.72 / $205.35 / $479.45	Professional		$119.72	$205.35	$479.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $154.96 / $332.00	Facility		$35.00	$154.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $177.31 / $215.12 / $337.40	Professional		$177.31	$215.12	$337.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $203.21 / $296.16	Professional		$142.88	$203.21	$296.16
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.35 / $186.35 / $197.78	Professional		$186.35	$186.35	$197.78
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $296.67 / $296.67 / $296.67	Professional	50	$296.67	$296.67	$296.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.47 / $555.00 / $74,999.25	Facility		$211.47	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $127.37 / $210.21 / $505.25	Professional		$127.37	$210.21	$505.25
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 $139.21 / $188.85 / $396.51	Professional		$139.21	$188.85	$396.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $173.52 / $173.52 / $597.27	Facility		$173.52	$173.52	$597.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $142.88 / $214.46 / $404.60	Professional		$142.88	$214.46	$404.60