Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $131.83 / $239.88	Facility		$70.79	$131.83	$239.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $208.93	Professional		$70.79	$75.86	$208.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $53.70	Professional		$19.95	$19.95	$53.70
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $63.10 / $63.10	Facility		$38.02	$63.10	$63.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $63.10 / $63.10	Professional		$46.77	$63.10	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $112.20 / $251.19	Facility		$45.71	$112.20	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $338.84	Professional		$67.61	$102.33	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $194.98	Facility		$70.79	$91.20	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $58.88 / $134.90	Professional		$48.98	$58.88	$134.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $18.62 / $18.62	Facility		$18.62	$18.62	$18.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $69.18 / $125.89	Professional		$19.50	$69.18	$125.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $75.86 / $95.50	Facility		$58.88	$75.86	$95.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $131.83 / $50,118.72	Facility		$63.10	$131.83	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $70.79 / $85.11	Facility		$63.10	$70.79	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $47.86 / $114.82	Professional		$33.11	$47.86	$114.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $22.39 / $83.18	Facility		$18.62	$22.39	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $70.79 / $125.89	Professional		$22.39	$70.79	$125.89