Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.84 / $1,715.00 / $6,962.00	Facility		$38.84	$1,715.00	$6,962.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $13.34 / $27.47 / $55.49	Facility	52	$13.34	$27.47	$55.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.51 / $70.16 / $126.57	Professional		$27.51	$70.16	$126.57
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.67 / $32.97 / $57.03	Professional	52	$14.67	$32.97	$57.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $70.94 / $190.75	Professional		$54.70	$70.94	$190.75
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $89.90	Professional		$35.47	$35.47	$89.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $14,648.00	Facility		$42.39	$42.39	$14,648.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $33.90 / $33.90 / $33.90	Facility	52	$33.90	$33.90	$33.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $82.05 / $227.25	Professional		$29.58	$82.05	$227.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.77 / $41.54 / $332.00	Facility		$25.77	$41.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.78 / $83.03 / $124.25	Professional		$70.78	$83.03	$124.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $89.90 / $124.80	Professional		$50.57	$89.90	$124.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $179.57 / $488.70	Facility		$50.00	$179.57	$488.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.39 / $42.39 / $74,999.25	Facility		$42.39	$42.39	$74,999.25
MVP Health Care Facility/Professional Facility Modifier 52 Low / Median / High Price $33.90 / $33.90 / $33.90	Facility	52	$33.90	$33.90	$33.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $88.99 / $238.70	Professional		$36.22	$88.99	$238.70
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 $53.38 / $75.29 / $192.04	Professional		$53.38	$75.29	$192.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $32.54 / $104.66	Facility		$32.54	$32.54	$104.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.57 / $80.31 / $124.80	Professional		$50.57	$80.31	$124.80