Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.10 / $2,792.00 / $7,307.00	Facility		$55.10	$2,792.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $55.50 / $155.19	Professional		$26.15	$55.50	$155.19
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 $32.63 / $81.20 / $151.10	Professional		$32.63	$81.20	$151.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $48.88 / $124.05 / $228.39	Professional	50	$48.88	$124.05	$228.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.06 / $41.06 / $4,050.00	Facility		$41.06	$41.06	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $41.06 / $124.14	Professional		$41.06	$41.06	$124.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $14,648.00	Facility		$48.69	$48.69	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.05 / $63.32 / $173.23	Professional		$29.05	$63.32	$173.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $47.84 / $332.00	Facility		$32.59	$47.84	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $48.57 / $175.30	Professional		$36.00	$48.57	$175.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $82.45 / $166.66	Professional		$56.29	$82.45	$166.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $266.31 / $266.31 / $266.31	Facility		$266.31	$266.31	$266.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $555.00 / $74,999.25	Facility		$48.69	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.52 / $90.54 / $194.05	Professional		$31.52	$90.54	$194.05
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 $51.93 / $96.73 / $208.69	Professional		$51.93	$96.73	$208.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.94 / $30.94 / $163.08	Facility		$30.94	$30.94	$163.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.29 / $91.14 / $190.41	Professional		$56.29	$91.14	$190.41