Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $87.10 / $134.90	Facility		$32.36	$87.10	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $52.48	Professional		$26.92	$33.88	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $97.72	Facility		$38.02	$38.02	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.05 / $89.13	Professional		$18.62	$19.05	$89.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $38.02 / $38.02	Facility		$22.39	$38.02	$38.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.02 / $38.02	Professional		$27.54	$38.02	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $89.13 / $407.38	Facility		$28.84	$89.13	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $53.70 / $181.97	Professional		$28.18	$53.70	$181.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $42.66 / $104.71	Facility		$20.89	$42.66	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $72.44	Professional		$16.22	$22.39	$72.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $36.31 / $50.12	Professional		$23.44	$36.31	$50.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $74.13 / $169.82	Facility		$30.90	$74.13	$169.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $67.61 / $50,118.72	Facility		$38.02	$67.61	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $46.77	Facility		$22.39	$33.88	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $57.54	Professional		$15.85	$22.39	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $28.18 / $87.10	Facility		$23.44	$28.18	$87.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $38.02 / $91.20	Professional		$23.44	$38.02	$91.20