Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $5,796.00 / $10,686.00	Facility		$645.00	$5,796.00	$10,686.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.97 / $169.58 / $357.50	Professional		$131.97	$169.58	$357.50
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 $155.47 / $193.09 / $359.66	Professional		$155.47	$193.09	$359.66
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 $150.00 / $150.00 / $243.00	Facility		$150.00	$150.00	$243.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.80 / $282.22 / $282.22	Professional		$181.80	$282.22	$282.22
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $458.40 / $458.40 / $458.40	Facility		$458.40	$458.40	$458.40
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 $50.00 / $75.00 / $85.00	Professional		$50.00	$75.00	$85.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $174.64 / $174.64 / $174.64	Facility		$174.64	$174.64	$174.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $174.64 / $282.22 / $282.22	Professional		$174.64	$282.22	$282.22