Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.61 / $54.19 / $41,453.00	Facility		$35.61	$54.19	$41,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.31 / $51.22 / $113.82	Professional		$42.31	$51.22	$113.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,909.00 / $13,155.00 / $27,864.00	Facility		$3,909.00	$13,155.00	$27,864.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $46.98 / $112.61	Professional		$36.22	$46.98	$112.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $62.58 / $1,254.00 / $4,050.00	Facility		$62.58	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.58 / $62.58 / $62.58	Professional		$62.58	$62.58	$62.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $10,210.00 / $15,351.00	Facility		$30.30	$10,210.00	$15,351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.47 / $65.37 / $146.30	Professional		$44.47	$65.37	$146.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.86 / $40.24 / $332.00	Facility		$21.86	$40.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $42.74 / $55.12	Professional		$31.86	$42.74	$55.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $38.10 / $45.22	Professional		$23.69	$38.10	$45.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.60 / $177.60 / $177.60	Facility		$177.60	$177.60	$177.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $10,677.00 / $15,351.00	Facility		$555.00	$10,677.00	$15,351.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.56 / $68.30 / $144.55	Professional		$45.56	$68.30	$144.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,079.00 / $3,166.00 / $12,243.00	Facility		$1,079.00	$3,166.00	$12,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $30.53 / $55.96 / $131.99	Professional		$30.53	$55.96	$131.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $35.89 / $141.69	Facility		$35.89	$35.89	$141.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.47 / $38.21 / $66.27	Professional		$24.47	$38.21	$66.27