Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.56 / $2,952.00 / $9,267.00	Facility		$48.56	$2,952.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $64.34 / $179.42	Professional		$29.94	$64.34	$179.42
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 $40.46 / $86.61 / $190.84	Professional		$40.46	$86.61	$190.84
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $60.69 / $133.02 / $295.25	Professional	50	$60.69	$133.02	$295.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.71 / $53.71 / $4,050.00	Facility		$53.71	$53.71	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $53.71 / $153.02	Professional		$53.71	$53.71	$153.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $63.92 / $14,648.00	Facility		$63.92	$63.92	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.04 / $76.73 / $207.59	Professional		$36.04	$76.73	$207.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.00 / $56.70 / $332.00	Facility		$35.00	$56.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $71.23 / $204.52	Professional		$24.00	$71.23	$204.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $97.67 / $194.31	Professional		$55.20	$97.67	$194.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.01 / $140.27 / $140.27	Professional		$114.01	$140.27	$140.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.92 / $555.00 / $74,999.25	Facility		$63.92	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.85 / $119.09 / $246.30	Professional		$44.85	$119.09	$246.30
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 $63.29 / $116.00 / $266.31	Professional		$63.29	$116.00	$266.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.27 / $40.27 / $138.94	Facility		$40.27	$40.27	$138.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.20 / $103.91 / $221.99	Professional		$55.20	$103.91	$221.99