Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.33 / $386.04 / $2,332.00	Facility		$29.33	$386.04	$2,332.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.70 / $27.82 / $75.95	Professional		$14.70	$27.82	$75.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $374.00 / $1,478.00 / $2,814.00	Facility		$374.00	$1,478.00	$2,814.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $16.01 / $44.23	Professional		$12.24	$16.01	$44.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Facility		$19.86	$19.86	$19.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.86 / $19.86 / $19.86	Professional		$19.86	$19.86	$19.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $72.79 / $108.05	Facility		$32.54	$72.79	$108.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $18.94 / $47.75	Professional		$10.52	$18.94	$47.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $24.54 / $346.00	Facility		$17.05	$24.54	$346.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $24.14 / $44.98	Professional		$16.18	$24.14	$44.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $22.32	Facility		$13.36	$13.36	$22.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $13.36 / $22.76	Professional		$13.23	$13.36	$22.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.04 / $87.58 / $152.47	Facility		$37.04	$87.58	$152.47
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $33.58 / $33.88	Professional		$33.58	$33.58	$33.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $80.06 / $74,999.25	Facility		$32.54	$80.06	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $12.94 / $23.68 / $67.69	Professional		$12.94	$23.68	$67.69
Optum Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $25.26 / $32.82	Professional		$21.99	$25.26	$32.82
United Facility/Professional Facility Modifier Low / Median / High Price $61.46 / $162.69 / $214.72	Facility		$61.46	$162.69	$214.72
United Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $18.67 / $35.97	Professional		$13.12	$18.67	$35.97
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $16.94 / $66.17	Facility		$16.94	$16.94	$66.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.73 / $16.94 / $79.56	Professional		$11.73	$16.94	$79.56