Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.04 / $66.92 / $358.30	Facility		$52.04	$66.92	$358.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $61.75 / $112.78	Professional		$47.57	$61.75	$112.78
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 $49.67 / $61.69 / $125.84	Professional		$49.67	$61.69	$125.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $70.13 / $641.00	Facility		$70.13	$70.13	$641.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $70.13 / $70.13 / $70.13	Professional		$70.13	$70.13	$70.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $56.94 / $7,227.90	Facility		$56.94	$56.94	$7,227.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $100.90 / $190.27	Professional		$60.45	$100.90	$190.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $83.48 / $332.00	Facility		$56.00	$83.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.70 / $66.15 / $104.75	Professional		$58.70	$66.15	$104.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $52.60 / $91.07	Professional		$30.42	$52.60	$91.07
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.62 / $138.62 / $138.62	Facility		$138.62	$138.62	$138.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $555.00 / $7,227.90	Facility		$56.94	$555.00	$7,227.90
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.67 / $100.90 / $195.06	Professional		$61.67	$100.90	$195.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,283.00 / $2,597.00 / $4,583.00	Facility		$1,283.00	$2,597.00	$4,583.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $68.84 / $159.00	Professional		$47.90	$68.84	$159.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.01 / $53.01 / $182.60	Facility		$53.01	$53.01	$182.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.42 / $53.01 / $102.98	Professional		$30.42	$53.01	$102.98