Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $82.11 / $82.11	Facility		$82.11	$82.11	$82.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $57.45 / $68.54	Professional		$46.82	$57.45	$68.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $8,999.99 / $15,319.90	Professional		$49.00	$8,999.99	$15,319.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $64.79	Professional		$14.25	$14.25	$64.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Facility		$30.00	$30.00	$30.00
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $30.75 / $30.75	Professional		$30.75	$30.75	$30.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $14.25 / $77.63	Professional		$14.25	$14.25	$77.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $75.00 / $75.00	Professional		$30.00	$75.00	$75.00