Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $97.72 / $162.18	Facility		$53.70	$97.72	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $52.48 / $501.19	Professional		$38.90	$52.48	$501.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $141.25	Facility		$53.70	$53.70	$141.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $77.62	Professional		$21.88	$21.88	$77.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $53.70	Facility		$32.36	$53.70	$53.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $53.70 / $53.70	Professional		$39.81	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $117.49 / $154.88	Facility		$36.31	$117.49	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $66.07 / $263.03	Professional		$19.95	$66.07	$263.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $147.91	Facility		$38.90	$64.57	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $104.71	Professional		$25.12	$32.36	$104.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $40.74 / $53.70	Professional		$25.12	$40.74	$53.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $74.13	Facility		$58.88	$58.88	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $102.33 / $50,118.72	Facility		$53.70	$102.33	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $64.57	Facility		$30.20	$48.98	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $32.36 / $81.28	Professional		$22.91	$32.36	$81.28
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $57.54	Facility		$25.12	$30.20	$57.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $45.71 / $61.66	Professional		$25.12	$45.71	$61.66