Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $83.18 / $331.13	Facility		$45.71	$83.18	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $81.28 / $218.78	Professional		$61.66	$81.28	$218.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $66.07 / $66.07	Professional		$64.57	$66.07	$66.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $70.79 / $50,118.72	Facility		$66.07	$70.79	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $338.84	Professional		$70.79	$70.79	$338.84
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $144.54	Facility		$69.18	$69.18	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $66.07 / $70.79	Professional		$66.07	$66.07	$70.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Professional		$83.18	$83.18	$83.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $50,118.72 / $75,857.76	Facility		$138.04	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $74.13 / $100.00	Professional		$64.57	$74.13	$100.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $69.18	Facility		$66.07	$66.07	$69.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $79.43	Professional		$50.12	$66.07	$79.43