Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $165.96 / $380.19	Facility		$54.95	$165.96	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $251.19	Professional		$48.98	$75.86	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $61.66 / $125.89	Professional		$0.79	$61.66	$125.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $123.03 / $346.74	Facility		$79.43	$123.03	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $97.72 / $263.03	Professional		$54.95	$97.72	$263.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $85.11 / $190.55	Facility		$34.67	$85.11	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $85.11 / $147.91	Professional		$38.02	$85.11	$147.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $4.79 / $91.20	Facility		$4.79	$4.79	$91.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $72.44 / $141.25	Professional		$39.81	$72.44	$141.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $50,118.72 / $75,857.76	Facility		$10.23	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $104.71 / $165.96	Professional		$91.20	$104.71	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $75.86 / $95.50	Facility		$60.26	$75.86	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $79.43 / $169.82	Professional		$44.67	$79.43	$169.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $4.79 / $63.10 / $109.65	Facility		$4.79	$63.10	$109.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $81.28 / $173.78	Professional		$39.81	$81.28	$173.78