Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $21.79 / $338.00	Facility		$9.52	$21.79	$338.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.49 / $26.43	Professional		$8.68	$12.49	$26.43
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $47.25 / $47.25 / $47.25	Professional	CQ	$47.25	$47.25	$47.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $16.57 / $75.00	Professional		$10.51	$16.57	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $80.00 / $226.00	Facility		$18.80	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $65.00 / $113.94	Professional		$14.14	$65.00	$113.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $32.40 / $332.00	Facility		$17.26	$32.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $45.00 / $85.00	Professional		$21.47	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $17.16 / $17.30	Facility		$13.85	$17.16	$17.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $15.09 / $32.53	Professional		$11.58	$15.09	$32.53
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $12.10 / $34.07	Facility		$12.10	$12.10	$34.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.99 / $23.04	Professional		$11.86	$11.99	$23.04
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $11.95 / $11.95 / $11.95	Professional	CQ	$11.95	$11.95	$11.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.80 / $555.00 / $597.00	Facility		$18.80	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $38.86 / $107.04	Professional		$15.19	$38.86	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.68 / $15.52 / $29.34	Professional		$12.68	$15.52	$29.34
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $15.52 / $44.37	Facility		$13.85	$15.52	$44.37
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $15.52 / $44.37	Professional		$11.58	$15.52	$44.37