Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $4,692.00 / $11,653.00	Facility		$181.97	$4,692.00	$11,653.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.34 / $263.51 / $755.90	Professional		$146.34	$263.51	$755.90
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $663.00 / $663.00 / $663.00	Professional	50	$663.00	$663.00	$663.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,120.00 / $8,836.00	Facility		$2,393.00	$4,120.00	$8,836.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.54 / $252.15 / $632.58	Professional		$198.54	$252.15	$632.58
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $297.81 / $374.25 / $948.87	Professional	50	$297.81	$374.25	$948.87
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $173.30 / $2,644.00 / $12,319.50	Facility		$173.30	$2,644.00	$12,319.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $173.30 / $173.30 / $314.62	Professional		$173.30	$173.30	$314.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.43 / $211.43 / $7,289.38	Facility		$211.43	$211.43	$7,289.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $149.50 / $339.80 / $881.60	Professional		$149.50	$339.80	$881.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $148.15 / $332.00 / $1,800.00	Facility		$148.15	$332.00	$1,800.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $318.24 / $454.59	Professional		$260.85	$318.24	$454.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $297.47 / $558.30	Professional		$182.57	$297.47	$558.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,733.21 / $5,733.21 / $5,733.21	Facility		$5,733.21	$5,733.21	$5,733.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $211.43 / $555.00 / $7,289.38	Facility		$211.43	$555.00	$7,289.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $156.19 / $341.91 / $1,095.15	Professional		$156.19	$341.91	$1,095.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,768.00 / $4,176.00 / $8,312.00	Facility		$1,768.00	$4,176.00	$8,312.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $278.94 / $654.41	Professional		$130.22	$278.94	$654.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $132.41 / $132.41 / $2,391.50	Facility		$132.41	$132.41	$2,391.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $157.76 / $316.66 / $558.30	Professional		$157.76	$316.66	$558.30