Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.22 / $2,952.00 / $9,267.00	Facility		$53.22	$2,952.00	$9,267.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $59.97 / $100.27	Professional		$43.51	$59.97	$100.27
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $115.50 / $115.50	Professional	50	$86.90	$115.50	$115.50
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 $33.04 / $43.20 / $146.69	Professional		$33.04	$43.20	$146.69
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $49.57 / $64.80 / $216.76	Professional	50	$49.57	$64.80	$216.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $51.58 / $4,050.00	Facility		$51.58	$51.58	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $51.58 / $55.40	Professional		$51.58	$51.58	$55.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $60.39 / $14,648.00	Facility		$60.39	$60.39	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $59.26 / $136.88	Professional		$31.54	$59.26	$136.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.99 / $84.00 / $332.00	Facility		$41.99	$84.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.48 / $50.74 / $79.52	Professional		$41.48	$50.74	$79.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $50.82 / $70.83	Professional		$35.79	$50.82	$70.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $51.91 / $67.68	Professional		$51.91	$51.91	$67.68
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $78.30 / $78.30 / $78.30	Professional	50	$78.30	$78.30	$78.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $60.39 / $555.00 / $74,999.25	Facility		$60.39	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $61.31 / $145.91	Professional		$36.88	$61.31	$145.91
United Facility/Professional Facility Modifier Low / Median / High Price $767.00 / $2,744.00 / $4,840.00	Facility		$767.00	$2,744.00	$4,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $51.60 / $112.06	Professional		$32.85	$51.60	$112.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.75 / $48.75 / $164.10	Facility		$48.75	$48.75	$164.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.99 / $52.34 / $98.11	Professional		$34.99	$52.34	$98.11