Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $77.62 / $138.04	Facility		$33.11	$77.62	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $36.31 / $77.62	Professional		$25.70	$36.31	$77.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $104.71	Facility		$40.74	$40.74	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $85.11	Professional		$17.38	$17.38	$85.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $40.74 / $40.74	Facility		$24.55	$40.74	$40.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $40.74	Professional		$29.51	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $87.10 / $147.91	Facility		$26.92	$87.10	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $57.54 / $194.98	Professional		$26.30	$57.54	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $50.12 / $125.89	Facility		$30.90	$50.12	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $77.62	Professional		$28.18	$34.67	$77.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $72.44	Professional		$28.84	$38.90	$72.44
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $102.33 / $123.03	Facility		$23.44	$102.33	$123.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $75.86 / $50,118.72	Facility		$41.69	$75.86	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $50.12	Professional		$40.74	$40.74	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $48.98	Facility		$36.31	$40.74	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $24.55 / $57.54	Professional		$16.98	$24.55	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $33.88 / $51.29	Facility		$28.18	$33.88	$51.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.90 / $72.44	Professional		$28.84	$38.90	$72.44