Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $102.33 / $380.19	Facility		$58.88	$102.33	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $208.93	Professional		$61.66	$97.72	$208.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $102.33	Facility		$97.72	$97.72	$102.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $89.13 / $89.13	Professional		$87.10	$89.13	$89.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Facility		$64.57	$64.57	$64.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $95.50 / $50,118.72	Facility		$63.10	$95.50	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $467.74	Professional		$95.50	$95.50	$467.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $134.90 / $331.13	Facility		$93.33	$134.90	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $112.20	Professional		$93.33	$93.33	$112.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Facility		$91.20	$91.20	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $97.72	Professional		$91.20	$91.20	$97.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $79.43 / $112.20	Facility		$31.62	$79.43	$112.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $97.72 / $112.20	Professional		$95.50	$97.72	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $93.33 / $93.33	Facility		$87.10	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $131.83	Professional		$87.10	$97.72	$131.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $95.50	Facility		$91.20	$91.20	$95.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $91.20 / $109.65	Professional		$28.84	$91.20	$109.65