Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.64 / $2,561.61 / $5,902.46	Facility		$47.64	$2,561.61	$5,902.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $52.44 / $109.00	Professional		$40.10	$52.44	$109.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,333.00 / $4,636.00	Facility		$1,691.00	$3,333.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.37 / $65.81 / $122.62	Professional		$52.37	$65.81	$122.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $4,050.00	Facility		$1,350.00	$1,350.00	$4,050.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.55 / $116.66 / $332.00	Facility		$55.55	$116.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.33 / $74.98 / $120.54	Professional		$58.33	$74.98	$120.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.50 / $120.57 / $120.57	Professional		$50.50	$120.57	$120.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.40 / $346.52 / $2,135.25	Facility		$182.40	$346.52	$2,135.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $30.00 / $70.00	Professional		$20.00	$30.00	$70.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.95 / $63.95 / $63.95	Facility		$63.95	$63.95	$63.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $120.57 / $120.57	Professional		$63.95	$120.57	$120.57