Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.93 / $1,110.00 / $7,028.00	Facility		$20.93	$1,110.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.82 / $26.67 / $55.28	Professional		$12.82	$26.67	$55.28
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 $15.28 / $26.74 / $62.85	Professional		$15.28	$26.74	$62.85
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $23.41 / $41.35 / $96.45	Professional	50	$23.41	$41.35	$96.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.84 / $20.84 / $4,050.00	Facility		$20.84	$20.84	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.84 / $20.84 / $46.63	Professional		$20.84	$20.84	$46.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $24.86 / $14,648.00	Facility		$24.86	$24.86	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $28.32 / $67.05	Professional		$14.35	$28.32	$67.05
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.76 / $35.00 / $332.00	Facility		$16.76	$35.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.45 / $44.57 / $93.17	Professional		$38.45	$44.57	$93.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $30.71 / $60.99	Professional		$24.47	$30.71	$60.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.64 / $50.00 / $799.50	Facility		$29.64	$50.00	$799.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.86 / $555.00 / $74,999.25	Facility		$24.86	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.42 / $37.97 / $80.40	Professional		$17.42	$37.97	$80.40
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 $20.11 / $37.72 / $80.93	Professional		$20.11	$37.72	$80.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $15.24 / $65.81	Facility		$15.24	$15.24	$65.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $35.43 / $69.68	Professional		$24.47	$35.43	$69.68