Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.48 / $20.80 / $330.00	Facility		$8.48	$20.80	$330.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $240.09 / $240.09 / $345.33	Facility	CQ	$240.09	$240.09	$345.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $11.49 / $28.28	Professional		$7.63	$11.49	$28.28
Aetna Facility/Professional Professional Modifier CO Low / Median / High Price $42.00 / $42.00 / $42.00	Professional	CO	$42.00	$42.00	$42.00
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 $8.76 / $15.20 / $75.00	Professional		$8.76	$15.20	$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 $16.00 / $80.00 / $226.00	Facility		$16.00	$80.00	$226.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $65.06 / $113.94	Professional		$12.00	$65.06	$113.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.95 / $36.00 / $332.00	Facility		$16.95	$36.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $45.00 / $89.00	Professional		$20.89	$45.00	$89.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $16.70 / $16.85	Facility		$13.48	$16.70	$16.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $13.48 / $32.36	Professional		$11.22	$13.48	$32.36
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $10.19 / $10.40	Professional		$10.08	$10.19	$10.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.67 / $50.00 / $71.25	Facility		$48.67	$50.00	$71.25
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $21.68 / $21.68	Professional		$21.68	$21.68	$21.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.00 / $555.00 / $597.00	Facility		$16.00	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $13.31 / $13.31 / $13.31	Facility	CQ	$13.31	$13.31	$13.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $37.60 / $107.04	Professional		$13.60	$37.60	$107.04
United Facility/Professional Professional Modifier Low / Median / High Price $11.84 / $14.76 / $26.98	Professional		$11.84	$14.76	$26.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.48 / $15.44 / $36.99	Facility		$13.48	$15.44	$36.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $15.44 / $36.99	Professional		$11.52	$15.44	$36.99