Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.51 / $2,842.00 / $10,170.00	Facility		$41.51	$2,842.00	$10,170.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.03 / $41.51 / $79.28	Professional		$30.03	$41.51	$79.28
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $19.19 / $19.19 / $38.38	Professional	50	$19.19	$19.19	$38.38
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 $35.97 / $44.67 / $96.07	Professional		$35.97	$44.67	$96.07
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $53.96 / $68.42 / $145.47	Professional	50	$53.96	$68.42	$145.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.96 / $47.96 / $4,050.00	Facility		$47.96	$47.96	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $47.96 / $58.47	Professional		$47.96	$47.96	$58.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $56.91 / $14,648.00	Facility		$56.91	$56.91	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $50.53 / $114.37	Professional		$29.89	$50.53	$114.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $40.31 / $65.00 / $332.00	Facility		$40.31	$65.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $55.96 / $87.24	Professional		$45.80	$55.96	$87.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $38.59 / $76.37	Professional		$22.48	$38.59	$76.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.07 / $48.60 / $112.36	Professional		$48.07	$48.60	$112.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.91 / $555.00 / $74,999.25	Facility		$56.91	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $51.32 / $118.06	Professional		$33.40	$51.32	$118.06
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 $36.45 / $47.40 / $94.71	Professional		$36.45	$47.40	$94.71
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.11 / $46.11 / $108.82	Facility		$46.11	$46.11	$108.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $46.11 / $95.80	Professional		$22.48	$46.11	$95.80