Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.92 / $2,626.00 / $7,307.00	Facility		$46.92	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.93 / $62.31 / $115.32	Professional		$27.93	$62.31	$115.32
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 $32.57 / $75.83 / $147.26	Professional		$32.57	$75.83	$147.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.68 / $43.68 / $4,050.00	Facility		$43.68	$43.68	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.68 / $43.68 / $102.88	Professional		$43.68	$43.68	$102.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.58 / $14,648.00	Facility		$51.58	$51.58	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $68.15 / $147.44	Professional		$32.06	$68.15	$147.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $39.76 / $332.00	Facility		$20.45	$39.76	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $94.86 / $198.93	Professional		$81.84	$94.86	$198.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.81 / $66.65 / $131.27	Professional		$57.81	$66.65	$131.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $78.84 / $78.84	Professional		$78.84	$78.84	$78.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $555.00 / $74,999.25	Facility		$51.58	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.65 / $83.44 / $170.72	Professional		$37.65	$83.44	$170.72
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 $48.70 / $81.09 / $178.15	Professional		$48.70	$81.09	$178.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.70 / $32.70 / $41.73	Facility		$32.70	$32.70	$41.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $70.20 / $149.97	Professional		$44.18	$70.20	$149.97