Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $128.82 / $218.78	Facility		$57.54	$128.82	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $245.47	Professional		$50.12	$61.66	$245.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $173.78	Facility		$67.61	$67.61	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $33.88 / $158.49	Professional		$33.11	$33.88	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $67.61 / $67.61	Facility		$40.74	$67.61	$67.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $67.61 / $67.61	Professional		$48.98	$67.61	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $144.54 / $724.44	Facility		$51.29	$144.54	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $95.50 / $446.68	Professional		$43.65	$95.50	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $89.13 / $245.47	Facility		$72.44	$89.13	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $46.77 / $131.83	Professional		$31.62	$46.77	$131.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $67.61 / $89.13	Professional		$58.88	$67.61	$89.13
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $169.82 / $316.23	Facility		$44.67	$169.82	$316.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $125.89 / $50,118.72	Facility		$83.18	$125.89	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $60.26 / $81.28	Facility		$40.74	$60.26	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $102.33	Professional		$28.18	$40.74	$102.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $162.18	Facility		$57.54	$67.61	$162.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $70.79 / $239.88	Professional		$57.54	$70.79	$239.88