Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $85.11 / $380.19	Facility		$17.38	$85.11	$380.19
Aetna Facility/Professional Facility Modifier CQ Low / Median / High Price $107.15 / $331.13 / $346.74	Facility	CQ	$107.15	$331.13	$346.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.39 / $70.79	Professional		$15.14	$22.39	$70.79
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $19.05 / $32.36 / $70.79	Professional	CQ	$19.05	$32.36	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $43.65 / $75.86	Professional		$18.62	$43.65	$75.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $79.43 / $50,118.72	Facility		$47.86	$79.43	$50,118.72
Cigna Facility/Professional Facility Modifier CQ Low / Median / High Price $39.81 / $39.81 / $39.81	Facility	CQ	$39.81	$39.81	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $35.48 / $95.50	Professional		$16.98	$35.48	$95.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $39.81 / $112.20	Facility		$26.92	$39.81	$112.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $39.81 / $81.28	Professional		$22.91	$39.81	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $34.67 / $38.90	Facility		$28.18	$34.67	$38.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $63.10	Professional		$23.99	$37.15	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
Highmark BCBS Facility/Professional Facility Modifier CQ Low / Median / High Price $20.42 / $20.42 / $29.51	Facility	CQ	$20.42	$20.42	$29.51
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Highmark BCBS Facility/Professional Professional Modifier CQ Low / Median / High Price $25.12 / $25.12 / $25.12	Professional	CQ	$25.12	$25.12	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $39.81 / $60.26	Professional		$34.67	$39.81	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.84 / $36.31	Facility		$23.44	$28.84	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $53.70	Professional		$20.42	$27.54	$53.70
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $32.36 / $120.23	Facility		$19.50	$32.36	$120.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $32.36 / $70.79	Professional		$23.99	$32.36	$70.79