Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.19 / $922.00 / $6,962.00	Facility		$50.19	$922.00	$6,962.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $75.87 / $230.09	Professional		$32.59	$75.87	$230.09
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 $39.03 / $73.73 / $164.88	Professional		$39.03	$73.73	$164.88
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $62.97 / $113.24 / $254.92	Professional	50	$62.97	$113.24	$254.92
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.13 / $51.13 / $4,050.00	Facility		$51.13	$51.13	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.13 / $51.13 / $126.09	Professional		$51.13	$51.13	$126.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $62.80 / $14,648.00	Facility		$62.80	$62.80	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.27 / $74.84 / $176.17	Professional		$36.27	$74.84	$176.17
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 $99.24 / $115.10 / $242.11	Professional		$99.24	$115.10	$242.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $82.26 / $160.26	Professional		$65.83	$82.26	$160.26
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.68 / $403.46 / $889.60	Facility		$76.68	$403.46	$889.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.58 / $153.58 / $153.58	Professional		$153.58	$153.58	$153.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.80 / $555.00 / $74,999.25	Facility		$62.80	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $99.72 / $213.54	Professional		$43.00	$99.72	$213.54
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 $55.98 / $97.88 / $221.25	Professional		$55.98	$97.88	$221.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.33 / $40.33 / $122.72	Facility		$40.33	$40.33	$122.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.78 / $93.11 / $183.10	Professional		$60.78	$93.11	$183.10