Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.17 / $3,094.00 / $9,661.00	Facility		$48.17	$3,094.00	$9,661.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $50.70 / $113.71	Professional		$34.40	$50.70	$113.71
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 $26.80 / $46.72 / $115.58	Professional		$26.80	$46.72	$115.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $49.77 / $49.77 / $6,213.00	Facility		$49.77	$49.77	$6,213.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $49.77 / $49.77 / $63.14	Professional		$49.77	$49.77	$63.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Facility		$58.29	$58.29	$58.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $69.54 / $179.14	Professional		$36.86	$69.54	$179.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $130.00 / $332.00	Facility		$39.97	$130.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $66.77 / $97.85	Professional		$48.62	$66.77	$97.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.75 / $41.75 / $41.75	Facility		$41.75	$41.75	$41.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $52.13 / $93.88	Professional		$37.33	$52.13	$93.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,033.59 / $1,033.59 / $1,033.59	Facility		$1,033.59	$1,033.59	$1,033.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $555.00 / $37,776.00	Facility		$58.29	$555.00	$37,776.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.47 / $69.72 / $183.31	Professional		$39.47	$69.72	$183.31
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 $40.11 / $63.40 / $151.09	Professional		$40.11	$63.40	$151.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $39.79 / $176.43	Facility		$39.79	$39.79	$176.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $57.24 / $93.88	Professional		$37.97	$57.24	$93.88