Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $147.91 / $323.59	Facility		$61.66	$147.91	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $61.66 / $263.03	Professional		$44.67	$61.66	$263.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $190.55	Facility		$74.13	$74.13	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $131.83	Professional		$30.20	$30.20	$131.83
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $74.13 / $74.13	Facility		$43.65	$74.13	$74.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $74.13 / $74.13	Professional		$53.70	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $154.88 / $263.03	Facility		$48.98	$154.88	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $354.81	Professional		$44.67	$100.00	$354.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $199.53	Facility		$25.12	$74.13	$199.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $72.44 / $138.04	Professional		$51.29	$72.44	$138.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $131.83	Professional		$61.66	$74.13	$131.83
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $128.82 / $302.00	Facility		$48.98	$128.82	$302.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $138.04 / $50,118.72	Facility		$74.13	$138.04	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $87.10	Professional		$74.13	$74.13	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $74.13 / $87.10	Facility		$66.07	$74.13	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.65 / $100.00	Professional		$30.90	$43.65	$100.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $74.13 / $87.10	Facility		$61.66	$74.13	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $74.13 / $147.91	Professional		$61.66	$74.13	$147.91