Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $128.82 / $245.47	Facility		$54.95	$128.82	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $53.70 / $177.83	Professional		$45.71	$53.70	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $165.96	Facility		$64.57	$64.57	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $144.54	Professional		$31.62	$31.62	$144.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $64.57 / $64.57	Facility		$38.90	$64.57	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $64.57 / $64.57	Professional		$46.77	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $138.04 / $676.08	Facility		$44.67	$138.04	$676.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $93.33 / $309.03	Professional		$41.69	$93.33	$309.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $64.57 / $177.83	Facility		$7.94	$64.57	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $125.89	Professional		$30.20	$44.67	$125.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $64.57 / $77.62	Professional		$26.92	$64.57	$77.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $169.82	Facility		$52.48	$52.48	$169.82
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $120.23 / $50,118.72	Facility		$36.31	$120.23	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $57.54 / $77.62	Facility		$38.90	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $38.90 / $97.72	Professional		$26.92	$38.90	$97.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $64.57 / $79.43	Facility		$54.95	$64.57	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $64.57 / $107.15	Professional		$30.20	$64.57	$107.15