Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $85.11 / $134.90	Facility		$44.67	$85.11	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $74.13	Professional		$28.18	$36.31	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $117.49	Facility		$44.67	$44.67	$117.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $64.57	Professional		$17.78	$17.78	$64.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $44.67 / $44.67	Facility		$26.92	$44.67	$44.67
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $44.67 / $44.67	Professional		$28.18	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $95.50 / $162.18	Facility		$30.20	$95.50	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $60.26 / $218.78	Professional		$26.92	$60.26	$218.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $125.89 / $204.17	Facility		$51.29	$125.89	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $44.67 / $85.11	Professional		$31.62	$44.67	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $100.00	Professional		$36.31	$42.66	$100.00
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $85.11 / $50,118.72	Facility		$58.88	$85.11	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Professional		$44.67	$44.67	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $44.67 / $53.70	Facility		$40.74	$44.67	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.92 / $58.88	Professional		$19.05	$26.92	$58.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $47.86 / $100.00	Facility		$38.02	$47.86	$100.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $44.67 / $107.15	Professional		$36.31	$44.67	$107.15