Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $3,060.00 / $9,661.00	Facility		$34.57	$3,060.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.29 / $36.33 / $67.23	Professional		$23.29	$36.33	$67.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,689.00 / $3,373.00 / $4,707.00	Facility		$1,689.00	$3,373.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.76 / $39.24 / $83.52	Professional		$18.76	$39.24	$83.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.95 / $34.95 / $6,213.00	Facility		$34.95	$34.95	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.95 / $34.95 / $44.50	Professional		$34.95	$34.95	$44.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $41.73 / $41.73	Facility		$41.73	$41.73	$41.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.97 / $49.77 / $126.93	Professional		$25.97	$49.77	$126.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $90.00 / $332.00	Facility		$28.61	$90.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $47.83 / $70.09	Professional		$34.83	$47.83	$70.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.91 / $29.91 / $29.91	Facility		$29.91	$29.91	$29.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.93 / $38.58 / $67.70	Professional		$26.93	$38.58	$67.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,690.59 / $4,690.59 / $4,690.59	Facility		$4,690.59	$4,690.59	$4,690.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.73 / $555.00 / $37,776.00	Facility		$41.73	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $50.49 / $126.93	Professional		$27.86	$50.49	$126.93
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 $28.66 / $44.86 / $103.67	Professional		$28.66	$44.86	$103.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $110.40	Facility		$28.84	$28.84	$110.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.33 / $41.01 / $67.70	Professional		$27.33	$41.01	$67.70