Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.82 / $151.54 / $41,453.00	Facility		$48.82	$151.54	$41,453.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.29 / $121.60 / $209.19	Professional		$48.29	$121.60	$209.19
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 $86.76 / $127.85 / $366.33	Professional		$86.76	$127.85	$366.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $72.62 / $1,254.00 / $4,050.00	Facility		$72.62	$1,254.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $72.62 / $72.62 / $167.64	Professional		$72.62	$72.62	$167.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.20 / $10,210.00 / $15,351.00	Facility		$42.20	$10,210.00	$15,351.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.31 / $121.43 / $307.82	Professional		$55.31	$121.43	$307.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.90 / $54.70 / $332.00	Facility		$29.90	$54.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $61.07 / $101.85	Professional		$43.32	$61.07	$101.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $53.29 / $101.85	Professional		$33.04	$53.29	$101.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.26 / $203.60 / $15,560.49	Facility		$75.26	$203.60	$15,560.49
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 $57.57 / $152.51 / $314.97	Professional		$57.57	$152.51	$314.97
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 $43.32 / $156.02 / $330.45	Professional		$43.32	$156.02	$330.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.05 / $50.05 / $159.18	Facility		$50.05	$50.05	$159.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $53.29 / $101.15	Professional		$33.79	$53.29	$101.15