Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.26 / $1,821.00 / $7,095.00	Facility		$32.26	$1,821.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.57 / $33.64 / $106.74	Professional		$15.57	$33.64	$106.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,393.00 / $4,142.00 / $9,074.00	Facility		$2,393.00	$4,142.00	$9,074.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.23 / $38.52 / $78.26	Professional		$24.23	$38.52	$78.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $39.29 / $57.78 / $118.12	Professional	50	$39.29	$57.78	$118.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.97 / $1,254.00 / $4,050.00	Facility		$36.97	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $57.98	Professional		$36.97	$36.97	$57.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $42.43 / $14,648.00	Facility		$42.43	$42.43	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.42 / $43.94 / $95.03	Professional		$22.42	$43.94	$95.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $29.97 / $332.00	Facility		$11.00	$29.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.62 / $53.52 / $112.68	Professional		$45.62	$53.52	$112.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $37.29 / $73.69	Professional		$20.62	$37.29	$73.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.95 / $788.35 / $1,159.02	Facility		$113.95	$788.35	$1,159.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $51.17 / $51.17	Professional		$51.17	$51.17	$51.17
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $555.00 / $74,999.25	Facility		$42.43	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.78 / $50.41 / $110.42	Professional		$25.78	$50.41	$110.42
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.16 / $45.75 / $100.73	Professional		$27.16	$45.75	$100.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.87 / $26.87 / $50.06	Facility		$26.87	$26.87	$50.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.62 / $39.40 / $84.19	Professional		$20.62	$39.40	$84.19