Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $3,090.30 / $9,120.11	Facility		$54.95	$3,090.30	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $53.70 / $154.88	Professional		$33.88	$53.70	$154.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $134.90	Professional		$37.15	$47.86	$134.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $6,165.95	Facility		$50.12	$50.12	$6,165.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $63.10	Professional		$50.12	$50.12	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $58.88 / $50,118.72	Facility		$34.67	$58.88	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $67.61 / $194.98	Professional		$37.15	$67.61	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $109.65 / $194.98	Facility		$33.88	$109.65	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $74.13 / $104.71	Professional		$52.48	$74.13	$104.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $93.33	Professional		$38.02	$57.54	$93.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $50,118.72 / $75,857.76	Facility		$53.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $398.11	Professional		$53.70	$75.86	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,754.23 / $4,897.79	Facility		$870.96	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $53.70 / $128.82	Professional		$32.36	$53.70	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $39.81 / $177.83	Facility		$27.54	$39.81	$177.83
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $53.70 / $117.49	Professional		$37.15	$53.70	$117.49