Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.57 / $2,419.00 / $7,028.00	Facility		$41.57	$2,419.00	$7,028.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.67 / $43.79 / $126.18	Professional		$26.67	$43.79	$126.18
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 $30.97 / $46.00 / $104.77	Professional		$30.97	$46.00	$104.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $47.35 / $69.01 / $158.08	Professional	50	$47.35	$69.01	$158.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $43.87 / $4,050.00	Facility		$43.87	$43.87	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.87 / $43.87 / $79.20	Professional		$43.87	$43.87	$79.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $54.45 / $14,648.00	Facility		$54.45	$54.45	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.77 / $58.40 / $129.15	Professional		$31.77	$58.40	$129.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $40.03 / $332.00	Facility		$18.00	$40.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.23 / $78.20 / $163.59	Professional		$66.23	$78.20	$163.59
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $53.51 / $106.88	Professional		$35.56	$53.51	$106.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.69 / $147.69 / $147.69	Facility		$147.69	$147.69	$147.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.45 / $555.00 / $74,999.25	Facility		$54.45	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.75 / $65.64 / $146.03	Professional		$36.75	$65.64	$146.03
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,705.00 / $4,840.00	Facility		$389.05	$2,705.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $63.92 / $137.81	Professional		$35.50	$63.92	$137.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $103.37	Facility		$34.82	$34.82	$103.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $62.10 / $122.11	Professional		$35.56	$62.10	$122.11