Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.57 / $263.41 / $3,347.00	Facility		$11.57	$263.41	$3,347.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.94 / $25.46 / $48.87	Professional		$9.94	$25.46	$48.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,366.00 / $4,707.00	Facility		$1,691.00	$3,366.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.83 / $63.50	Professional		$20.32	$25.83	$63.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.72 / $12.72 / $12.72	Facility		$12.72	$12.72	$12.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.72 / $12.72 / $41.36	Professional		$12.72	$12.72	$41.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $15.46 / $14,648.00	Facility		$15.46	$15.46	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $28.81 / $83.15	Professional		$9.47	$28.81	$83.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.15 / $16.80 / $332.00	Facility		$10.15	$16.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.20 / $32.19 / $60.81	Professional		$20.20	$32.19	$60.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.17 / $30.00 / $53.56	Professional		$21.17	$30.00	$53.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $50.00	Facility		$50.00	$50.00	$50.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.46 / $555.00 / $74,999.25	Facility		$15.46	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $33.94 / $83.15	Professional		$10.52	$33.94	$83.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $36.40 / $84.99	Professional		$27.60	$36.40	$84.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.56 / $11.56 / $33.53	Facility		$11.56	$11.56	$33.53
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $35.29 / $61.97	Professional		$22.70	$35.29	$61.97