Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $2,056.00 / $7,095.00	Facility		$18.46	$2,056.00	$7,095.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.91 / $18.14 / $48.55	Professional		$11.91	$18.14	$48.55
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $23.46 / $35.28 / $89.05	Professional	50	$23.46	$35.28	$89.05
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.96 / $9.02 / $19.57	Professional	52	$5.96	$9.02	$19.57
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $2.38 / $3.61 / $6.52	Professional	53	$2.38	$3.61	$6.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $17.23 / $37.77	Professional		$13.88	$17.23	$37.77
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $20.82 / $25.86 / $56.65	Professional	50	$20.82	$25.86	$56.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.91 / $20.91 / $20.91	Facility		$20.91	$20.91	$20.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.91 / $20.91 / $20.91	Professional		$20.91	$20.91	$20.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $14,648.00	Facility		$17.89	$17.89	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $24.58 / $55.09	Professional		$11.93	$24.58	$55.09
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.10 / $332.00	Facility		$10.00	$20.10	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $22.53 / $31.95	Professional		$18.55	$22.53	$31.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $17.97 / $31.66	Professional		$12.24	$17.97	$31.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.61 / $220.98 / $289.14	Facility		$40.61	$220.98	$289.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $11.71 / $11.71	Professional		$11.71	$11.71	$11.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $17.89 / $17.89 / $74,999.25	Facility		$17.89	$17.89	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $23.31 / $53.67	Professional		$13.97	$23.31	$53.67
MVP Health Care Facility/Professional Professional Modifier 53 Low / Median / High Price $6.98 / $9.07 / $14.82	Professional	53	$6.98	$9.07	$14.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $2,826.00 / $4,851.00	Facility		$1,079.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $17.44 / $44.19	Professional		$9.15	$17.44	$44.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $16.77 / $21.51	Facility		$16.77	$16.77	$21.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $19.62 / $33.28	Professional		$12.83	$19.62	$33.28