Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.49 / $186.00 / $6,962.00	Facility		$34.49	$186.00	$6,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $39.00 / $93.88	Professional		$21.82	$39.00	$93.88
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $46.44 / $46.44 / $46.44	Professional	50	$46.44	$46.44	$46.44
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 $25.41 / $36.39 / $87.54	Professional		$25.41	$36.39	$87.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.11 / $54.59 / $132.03	Professional	50	$38.11	$54.59	$132.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $34.22 / $4,050.00	Facility		$34.22	$34.22	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $34.22 / $62.88	Professional		$34.22	$34.22	$62.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $14,648.00	Facility		$41.11	$41.11	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $44.85 / $99.74	Professional		$22.85	$44.85	$99.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $40.32 / $332.00	Facility		$24.56	$40.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.21 / $60.51 / $141.66	Professional		$52.21	$60.51	$141.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $42.05 / $82.91	Professional		$35.15	$42.05	$82.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.54 / $78.11 / $807.80	Facility		$34.54	$78.11	$807.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $555.00 / $74,999.25	Facility		$41.11	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.88 / $52.63 / $110.72	Professional		$26.88	$52.63	$110.72
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 $29.90 / $50.46 / $113.83	Professional		$29.90	$50.46	$113.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $25.50 / $112.32	Facility		$25.50	$25.50	$112.32
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.03 / $48.17 / $94.72	Professional		$31.03	$48.17	$94.72