Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.65 / $1,514.99 / $7,028.00	Facility		$35.65	$1,514.99	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.22 / $50.90 / $144.75	Professional		$20.22	$50.90	$144.75
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 $24.60 / $74.48 / $135.54	Professional		$24.60	$74.48	$135.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $36.90 / $113.37 / $205.54	Professional	50	$36.90	$113.37	$205.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $31.75 / $31.75 / $4,050.00	Facility		$31.75	$31.75	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.75 / $31.75 / $112.92	Professional		$31.75	$31.75	$112.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $38.20 / $14,648.00	Facility		$38.20	$38.20	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $54.76 / $158.46	Professional		$22.21	$54.76	$158.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.68 / $38.06 / $332.00	Facility		$25.68	$38.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $50.88 / $161.66	Professional		$30.00	$50.88	$161.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $75.44 / $152.28	Professional		$46.56	$75.44	$152.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $162.15 / $799.73	Facility		$50.00	$162.15	$799.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.20 / $555.00 / $74,999.25	Facility		$38.20	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $79.76 / $176.52	Professional		$26.26	$79.76	$176.52
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 $46.70 / $80.48 / $183.94	Professional		$46.70	$80.48	$183.94
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $125.02	Facility		$23.65	$23.65	$125.02
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $81.43 / $173.98	Professional		$46.56	$81.43	$173.98