Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.88 / $2,626.00 / $7,307.00	Facility		$22.88	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.94 / $23.28 / $49.73	Professional		$14.94	$23.28	$49.73
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 $18.11 / $25.18 / $52.74	Professional		$18.11	$25.18	$52.74
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $27.29 / $37.77 / $79.77	Professional	50	$27.29	$37.77	$79.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $1,254.00 / $6,213.00	Facility		$24.11	$1,254.00	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.11 / $24.11 / $35.57	Professional		$24.11	$24.11	$35.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $28.59 / $14,648.00	Facility		$28.59	$28.59	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.15 / $28.43 / $60.12	Professional		$14.15	$28.43	$60.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $21.85 / $332.00	Facility		$11.00	$21.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $33.36 / $68.69	Professional		$28.26	$33.36	$68.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $23.28 / $45.50	Professional		$17.55	$23.28	$45.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $486.03 / $1,978.66 / $2,565.42	Facility		$486.03	$1,978.66	$2,565.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.59 / $555.00 / $74,999.25	Facility		$28.59	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.01 / $31.88 / $64.78	Professional		$17.01	$31.88	$64.78
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 $16.39 / $28.34 / $68.76	Professional		$16.39	$28.34	$68.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.93 / $17.93 / $35.59	Facility		$17.93	$17.93	$35.59
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $24.45 / $52.83	Professional		$17.55	$24.45	$52.83