Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $549.54	Facility		$85.11	$85.11	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $89.13 / $239.88	Professional		$83.18	$89.13	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Facility		$75.86	$75.86	$75.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $95.50 / $50,118.72	Facility		$89.13	$95.50	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $446.68	Professional		$95.50	$95.50	$446.68
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $158.49	Facility		$91.20	$91.20	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $91.20	Professional		$77.62	$91.20	$91.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $87.10	Facility		$83.18	$83.18	$87.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $85.11	Professional		$83.18	$83.18	$85.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Facility		$50.12	$50.12	$50.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $50,118.72 / $75,857.76	Facility		$181.97	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $131.83	Professional		$83.18	$95.50	$131.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $93.33	Facility		$83.18	$83.18	$93.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $100.00	Professional		$83.18	$85.11	$100.00