Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.21 / $2,399.00 / $7,095.00	Facility		$37.21	$2,399.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $42.22 / $104.22	Professional		$29.12	$42.22	$104.22
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 $27.14 / $35.49 / $90.68	Professional		$27.14	$35.49	$90.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $41.38 / $4,050.00	Facility		$41.38	$41.38	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $54.75	Professional		$41.38	$41.38	$54.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $14,648.00	Facility		$49.09	$49.09	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.39 / $59.70 / $132.37	Professional		$33.39	$59.70	$132.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.12 / $48.95 / $332.00	Facility		$30.12	$48.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.30 / $50.79 / $76.02	Professional		$43.30	$50.79	$76.02
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.85 / $43.30 / $69.33	Professional		$30.85	$43.30	$69.33
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $78.76 / $78.76	Professional		$78.76	$78.76	$78.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.09 / $49.09 / $74,999.25	Facility		$49.09	$49.09	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $64.05 / $132.37	Professional		$37.64	$64.05	$132.37
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 $37.40 / $53.13 / $109.88	Professional		$37.40	$53.13	$109.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.13 / $33.13 / $107.87	Facility		$33.13	$33.13	$107.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $45.54 / $76.47	Professional		$33.13	$45.54	$76.47