Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.88 / $1,715.00 / $6,962.00	Facility		$24.88	$1,715.00	$6,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $41.65 / $125.95	Professional		$14.53	$41.65	$125.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.97 / $65.19 / $113.51	Professional		$17.97	$65.19	$113.51
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $26.48 / $100.02 / $170.31	Professional	50	$26.48	$100.02	$170.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.82 / $22.82 / $4,050.00	Facility		$22.82	$22.82	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $22.82 / $98.26	Professional		$22.82	$22.82	$98.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $26.64 / $14,648.00	Facility		$26.64	$26.64	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.74 / $45.66 / $136.68	Professional		$15.74	$45.66	$136.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $33.00 / $332.00	Facility		$17.89	$33.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $50.88 / $139.56	Professional		$24.00	$50.88	$139.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $65.92 / $131.19	Professional		$37.86	$65.92	$131.19
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $31.06 / $31.06 / $31.06	Professional		$31.06	$31.06	$31.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $244.53 / $807.80	Facility		$50.00	$244.53	$807.80
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.47 / $90.47 / $106.43	Professional		$90.47	$90.47	$106.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $555.00 / $74,999.25	Facility		$26.64	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $66.27 / $152.59	Professional		$19.09	$66.27	$152.59
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 $39.54 / $68.12 / $159.38	Professional		$39.54	$68.12	$159.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $89.21	Facility		$16.72	$16.72	$89.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $64.83 / $149.90	Professional		$37.86	$64.83	$149.90