Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.44 / $2,626.00 / $7,307.00	Facility		$29.44	$2,626.00	$7,307.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.53 / $26.26 / $78.86	Professional		$10.53	$26.26	$78.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $45.48 / $82.46	Professional		$23.43	$45.48	$82.46
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $815.00	Facility		$35.47	$35.47	$815.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $64.59	Professional		$35.47	$35.47	$64.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $39.32 / $14,648.00	Facility		$39.32	$39.32	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.10 / $35.89 / $104.28	Professional		$15.10	$35.89	$104.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.15 / $64.00 / $332.00	Facility		$28.15	$64.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.95 / $60.22 / $122.86	Professional		$51.95	$60.22	$122.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.87 / $55.75 / $94.95	Professional		$22.87	$55.75	$94.95
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.86 / $58.86 / $94.45	Facility		$58.86	$58.86	$94.45
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.32 / $555.00 / $74,999.25	Facility		$39.32	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $49.03 / $112.26	Professional		$18.46	$49.03	$112.26
United Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,826.00 / $4,851.00	Facility		$964.00	$2,826.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $47.53 / $100.95	Professional		$33.88	$47.53	$100.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.75 / $26.75 / $224.31	Facility		$26.75	$26.75	$224.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.75 / $60.12 / $106.15	Professional		$26.75	$60.12	$106.15