Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.75 / $2,626.00 / $7,307.00	Facility		$42.75	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.75 / $42.32 / $62.96	Professional		$28.75	$42.32	$62.96
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 $29.92 / $37.15 / $83.99	Professional		$29.92	$37.15	$83.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $45.20 / $45.20	Facility		$45.20	$45.20	$45.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.20 / $45.20 / $53.25	Professional		$45.20	$45.20	$53.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Facility		$54.30	$54.30	$54.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.95 / $47.71 / $108.79	Professional		$29.95	$47.71	$108.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $54.65 / $332.00	Facility		$33.96	$54.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.03 / $51.50 / $80.08	Professional		$42.03	$51.50	$80.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $35.52 / $70.30	Professional		$25.12	$35.52	$70.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.52 / $32.52 / $32.52	Professional		$32.52	$32.52	$32.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.30 / $555.00 / $74,999.25	Facility		$54.30	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.85 / $48.35 / $108.79	Professional		$31.85	$48.35	$108.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,652.00 / $4,370.00 / $9,187.00	Facility		$1,652.00	$4,370.00	$9,187.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.61 / $43.32 / $92.51	Professional		$33.61	$43.32	$92.51
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.87 / $43.87 / $47.55	Facility		$43.87	$43.87	$47.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $43.87 / $80.61	Professional		$25.12	$43.87	$80.61