Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $83.88 / $363.00	Facility		$17.57	$83.88	$363.00
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $175.61 / $329.99 / $343.14	Facility	CQ	$175.61	$329.99	$343.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $19.03 / $52.93	Professional		$14.40	$19.03	$52.93
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $18.44 / $21.66 / $587.05	Professional	CQ	$18.44	$21.66	$587.05
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 $18.22 / $32.04 / $75.00	Professional		$18.22	$32.04	$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 $33.11 / $80.00 / $226.00	Facility		$33.11	$80.00	$226.00
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.58 / $56.58 / $108.10	Professional		$20.58	$56.58	$108.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $50.38 / $332.00	Facility		$27.00	$50.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.13 / $45.00 / $85.00	Professional		$36.13	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $34.69 / $34.99	Facility		$27.99	$34.69	$34.99
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $27.99 / $62.82	Professional		$24.22	$27.99	$62.82
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.25 / $83.25 / $85.12	Facility		$83.25	$83.25	$85.12
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $29.63 / $29.63 / $29.63	Facility	CQ	$29.63	$29.63	$29.63
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.28 / $24.28 / $24.28	Professional		$24.28	$24.28	$24.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $555.00 / $597.00	Facility		$33.11	$555.00	$597.00
MVP Health Care Facility/Professional Facility Modifier CQ Low / Median / High Price $27.88 / $27.88 / $27.88	Facility	CQ	$27.88	$27.88	$27.88
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $50.62 / $102.90	Professional		$21.05	$50.62	$102.90
United Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $27.74 / $49.00	Professional		$17.00	$27.74	$49.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $32.46 / $76.42	Facility		$27.99	$32.46	$76.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $32.46 / $75.28	Professional		$24.22	$32.46	$75.28