Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.37 / $2,865.00 / $9,038.00	Facility		$68.37	$2,865.00	$9,038.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $97.71 / $202.08	Professional		$55.86	$97.71	$202.08
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.01 / $253.59 / $395.62	Professional	50	$86.01	$253.59	$395.62
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 $69.19 / $88.11 / $266.82	Professional		$69.19	$88.11	$266.82
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $103.79 / $132.16 / $401.08	Professional	50	$103.79	$132.16	$401.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.69 / $71.69 / $4,050.00	Facility		$71.69	$71.69	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $111.32	Professional		$71.69	$71.69	$111.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $87.79 / $14,648.00	Facility		$87.79	$87.79	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $124.66 / $300.99	Professional		$56.04	$124.66	$300.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $67.68 / $332.00	Facility		$35.00	$67.68	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $91.75 / $106.60 / $159.54	Professional		$91.75	$106.60	$159.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $102.79 / $143.43	Professional		$66.11	$102.79	$143.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.51 / $30.51 / $110.49	Facility		$30.51	$30.51	$110.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.79 / $87.79 / $74,999.25	Facility		$87.79	$87.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $129.30 / $317.02	Professional		$60.00	$129.30	$317.02
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $97.04 / $241.79	Professional		$49.13	$97.04	$241.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $54.67 / $208.79	Facility		$54.67	$54.67	$208.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $103.53 / $162.47	Professional		$63.83	$103.53	$162.47