Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.17 / $43.62 / $363.00	Facility		$11.17	$43.62	$363.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $37.50 / $37.50 / $58.37	Facility	CQ	$37.50	$37.50	$58.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.41 / $20.87	Professional		$7.91	$13.41	$20.87
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $21.39 / $21.39 / $30.10	Professional	CQ	$21.39	$21.39	$30.10
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 $11.29 / $15.72 / $75.00	Professional		$11.29	$15.72	$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 $19.30 / $80.00 / $226.00	Facility		$19.30	$80.00	$226.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.49 / $14.90 / $68.93	Professional		$8.49	$14.90	$68.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $30.20 / $332.00	Facility		$14.19	$30.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $45.00 / $78.67	Professional		$17.48	$45.00	$78.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $13.98 / $14.10	Facility		$11.28	$13.98	$14.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $15.11 / $26.96	Professional		$9.60	$15.11	$26.96
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $9.77 / $9.77 / $9.77	Professional	CQ	$9.77	$9.77	$9.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $555.00 / $597.00	Facility		$19.30	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $11.09 / $11.09 / $11.09	Facility	CQ	$11.09	$11.09	$11.09
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $17.75 / $50.48	Professional		$11.72	$17.75	$50.48
United Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $13.13 / $28.78	Professional		$10.40	$13.13	$28.78
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.28 / $12.86 / $44.92	Facility		$11.28	$12.86	$44.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.86 / $44.92	Professional		$9.60	$12.86	$44.92