Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $448.70 / $6,593.00	Facility		$42.61	$448.70	$6,593.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $51.70 / $106.81 / $1,985.67	Facility	50	$51.70	$106.81	$1,985.67
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $14.93 / $22.62 / $36.21	Facility	52	$14.93	$22.62	$36.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $55.15 / $119.46	Professional		$29.85	$55.15	$119.46
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $50.03 / $84.64 / $246.00	Professional	50	$50.03	$84.64	$246.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.93 / $24.38 / $45.11	Professional	52	$14.93	$24.38	$45.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.67 / $54.11 / $123.12	Professional		$42.67	$54.11	$123.12
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $64.01 / $81.17 / $184.47	Professional	50	$64.01	$81.17	$184.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $66.81	Professional		$46.77	$46.77	$66.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $14,648.00	Facility		$54.72	$54.72	$14,648.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $43.78 / $43.78 / $43.78	Facility	52	$43.78	$43.78	$43.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $73.00 / $173.11	Professional		$33.68	$73.00	$173.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $43.25 / $332.00	Facility		$25.00	$43.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $64.84 / $135.44	Professional		$54.84	$64.84	$135.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.45 / $51.06 / $87.76	Professional		$40.45	$51.06	$87.76
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $54.84 / $54.84 / $54.84	Professional		$54.84	$54.84	$54.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.50 / $164.47 / $1,124.47	Facility		$2.50	$164.47	$1,124.47
Highmark BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $50.00 / $65.91 / $10,555.86	Facility	50	$50.00	$65.91	$10,555.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.89 / $113.89 / $113.89	Professional		$113.89	$113.89	$113.89
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $96.80 / $96.80 / $96.80	Professional	50	$96.80	$96.80	$96.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $54.72 / $74,999.25	Facility		$54.72	$54.72	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $43.78 / $43.78 / $43.78	Facility	52	$43.78	$43.78	$43.78
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.67 / $74.73 / $173.11	Professional		$36.67	$74.73	$173.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.38 / $58.35 / $138.38	Professional		$27.38	$58.35	$138.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.56 / $34.56 / $115.35	Facility		$34.56	$34.56	$115.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $55.98 / $99.51	Professional		$39.06	$55.98	$99.51