Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $1,821.00 / $7,185.00	Facility		$64.79	$1,821.00	$7,185.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.18 / $70.00 / $133.47	Professional		$50.18	$70.00	$133.47
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $108.23 / $108.23 / $108.23	Professional	50	$108.23	$108.23	$108.23
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 $57.65 / $73.34 / $163.54	Professional		$57.65	$73.34	$163.54
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $86.47 / $109.64 / $240.24	Professional	50	$86.47	$109.64	$240.24
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.56 / $71.56 / $4,050.00	Facility		$71.56	$71.56	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.56 / $71.56 / $95.92	Professional		$71.56	$71.56	$95.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $83.48 / $14,648.00	Facility		$83.48	$83.48	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $79.59 / $172.82	Professional		$46.77	$79.59	$172.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $82.05 / $332.00	Facility		$52.00	$82.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.08 / $90.79 / $141.69	Professional		$74.08	$90.79	$141.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $67.23 / $125.36	Professional		$40.33	$67.23	$125.36
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.92 / $83.04 / $91.32	Professional		$78.92	$83.04	$91.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.48 / $555.00 / $74,999.25	Facility		$83.48	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $81.67 / $177.65	Professional		$54.04	$81.67	$177.65
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 $58.79 / $76.83 / $154.50	Professional		$58.79	$76.83	$154.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $68.40 / $176.17	Facility		$68.40	$68.40	$176.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $69.44 / $158.19	Professional		$40.33	$69.44	$158.19