Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $230.00 / $366.00	Facility		$23.66	$230.00	$366.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $19.57 / $90.00	Professional		$18.50	$19.57	$90.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $114.00 / $241.00	Facility		$85.00	$114.00	$241.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $42.50 / $51.25	Professional		$20.32	$42.50	$51.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $54.68	Facility		$54.68	$54.68	$54.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $30.09 / $82.67	Professional		$22.00	$30.09	$82.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $45.00 / $45.00	Facility		$45.00	$45.00	$45.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $55.00	Professional		$45.00	$45.00	$55.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $45.55 / $57.76	Facility		$19.26	$45.55	$57.76
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $45.55 / $88.49	Professional		$7.25	$45.55	$88.49
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.04 / $32.04 / $32.04	Professional		$32.04	$32.04	$32.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.68 / $54.68 / $555.00	Facility		$54.68	$54.68	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $52.06	Professional		$25.00	$25.00	$52.06
Optum Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $33.02 / $33.02	Professional		$29.88	$33.02	$33.02
United Facility/Professional Professional Modifier Low / Median / High Price $44.95 / $60.11 / $171.45	Professional		$44.95	$60.11	$171.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.55 / $57.76 / $57.76	Facility		$45.55	$57.76	$57.76
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $52.00 / $122.10	Professional		$7.25	$52.00	$122.10