Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $22.90 / $363.00	Facility		$9.15	$22.90	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $13.57 / $24.33	Professional		$9.72	$13.57	$24.33
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $14.57 / $14.57 / $14.57	Professional	CQ	$14.57	$14.57	$14.57
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 $11.80 / $17.42 / $75.00	Professional		$11.80	$17.42	$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 $20.88 / $80.00 / $226.00	Facility		$20.88	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.21 / $66.00 / $113.94	Professional		$14.21	$66.00	$113.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.26 / $36.50 / $332.00	Facility		$17.26	$36.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $45.00 / $78.67	Professional		$21.47	$45.00	$78.67
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 $10.07 / $17.37 / $33.28	Professional		$10.07	$17.37	$33.28
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.02 / $63.02 / $63.02	Facility		$63.02	$63.02	$63.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.88 / $555.00 / $597.00	Facility		$20.88	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $43.00 / $107.04	Professional		$15.50	$43.00	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $12.37 / $16.00 / $28.62	Professional		$12.37	$16.00	$28.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $15.88 / $49.10	Facility		$13.85	$15.88	$49.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.85 / $15.88 / $49.10	Professional		$11.85	$15.88	$49.10