Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $67.61 / $107.15	Facility		$35.48	$67.61	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $67.61	Professional		$23.99	$30.90	$67.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $91.20	Facility		$35.48	$35.48	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $89.13	Professional		$17.38	$17.38	$89.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $35.48 / $35.48	Facility		$20.89	$35.48	$35.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $35.48	Professional		$25.70	$35.48	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $91.20 / $380.19	Facility		$26.92	$91.20	$380.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $50.12 / $186.21	Professional		$24.55	$50.12	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $40.74 / $95.50	Facility		$21.88	$40.74	$95.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $34.67 / $66.07	Professional		$24.55	$34.67	$66.07
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $35.48 / $63.10	Professional		$33.11	$35.48	$63.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $66.07 / $50,118.72	Facility		$43.65	$66.07	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $44.67	Professional		$35.48	$35.48	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $35.48 / $41.69	Facility		$31.62	$35.48	$41.69
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.89 / $54.95	Professional		$14.79	$20.89	$54.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $35.48 / $85.11	Facility		$29.51	$35.48	$85.11
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $38.90 / $109.65	Professional		$29.51	$38.90	$109.65