Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $3,019.95 / $10,232.93	Facility		$64.57	$3,019.95	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $63.10 / $223.87	Professional		$41.69	$63.10	$223.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $5,011.87	Facility		$1,819.70	$3,630.78	$5,011.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $52.48 / $128.82	Professional		$39.81	$52.48	$128.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $4,073.80	Facility		$63.10	$63.10	$4,073.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Professional		$63.10	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $74.13 / $53,703.18	Facility		$34.67	$74.13	$53,703.18
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $15.14 / $15.14 / $15.14	Facility	53	$15.14	$15.14	$15.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $81.28 / $234.42	Professional		$34.67	$81.28	$234.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $151.36	Facility		$47.86	$66.07	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $61.66 / $117.49	Professional		$41.69	$61.66	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $51.29 / $81.28	Professional		$33.88	$51.29	$81.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $50,118.72 / $75,857.76	Facility		$53.70	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $398.11	Professional		$53.70	$64.57	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,754.23 / $4,897.79	Facility		$1,318.26	$2,754.23	$4,897.79
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $128.82	Professional		$40.74	$56.23	$128.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $56.23 / $204.17	Facility		$35.48	$56.23	$204.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $56.23 / $165.96	Professional		$33.88	$56.23	$165.96