Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $97.72 / $165.96	Facility		$43.65	$97.72	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $43.65 / $74.13	Professional		$38.02	$43.65	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $131.83	Facility		$51.29	$51.29	$131.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $112.20	Professional		$25.12	$25.12	$112.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $51.29 / $51.29	Facility		$30.90	$51.29	$51.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $51.29 / $51.29	Professional		$37.15	$51.29	$51.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $109.65 / $147.91	Facility		$33.88	$109.65	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $61.66 / $245.47	Professional		$34.67	$61.66	$245.47
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $66.07 / $141.25	Facility		$47.86	$66.07	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $36.31 / $100.00	Professional		$23.99	$36.31	$100.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Facility		$51.29	$51.29	$51.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $51.29 / $72.44	Professional		$43.65	$51.29	$72.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $102.33 / $138.04	Facility		$63.10	$102.33	$138.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $97.72 / $50,118.72	Facility		$66.07	$97.72	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $45.71 / $64.57	Facility		$30.90	$45.71	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.90 / $77.62	Professional		$21.38	$30.90	$77.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $51.29 / $83.18	Facility		$43.65	$51.29	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $53.70 / $93.33	Professional		$43.65	$53.70	$93.33