Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $81.28 / $151.36	Facility		$33.11	$81.28	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.11 / $41.69	Professional		$19.95	$33.11	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.57 / $45.71	Professional		$4.57	$4.57	$45.71
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $43.65 / $43.65	Professional		$31.62	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $93.33 / $112.20	Facility		$28.18	$93.33	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $208.93 / $208.93	Professional		$43.65	$208.93	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $72.44 / $165.96	Facility		$43.65	$72.44	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $58.88 / $85.11	Professional		$45.71	$58.88	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $77.62	Professional		$36.31	$42.66	$77.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $147.91 / $162.18	Facility		$134.90	$147.91	$162.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $81.28 / $50,118.72	Facility		$56.23	$81.28	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $44.67	Professional		$43.65	$43.65	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $43.65 / $52.48	Facility		$38.90	$43.65	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $26.30 / $57.54	Professional		$18.20	$26.30	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $43.65 / $50.12	Facility		$26.30	$43.65	$50.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $85.11	Professional		$36.31	$43.65	$85.11