Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $95.50 / $295.12	Facility		$61.66	$95.50	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $181.97	Professional		$61.66	$75.86	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $69.18 / $154.88	Professional		$53.70	$69.18	$154.88
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $128.82 / $50,118.72	Facility		$79.43	$128.82	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $102.33 / $257.04	Professional		$67.61	$102.33	$257.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $91.20 / $263.03	Facility		$70.79	$91.20	$263.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $151.36	Professional		$75.86	$100.00	$151.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $87.10 / $97.72	Facility		$63.10	$87.10	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $134.90	Professional		$60.26	$79.43	$134.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Facility		$234.42	$234.42	$234.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $50,118.72 / $75,857.76	Facility		$52.48	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $154.88	Professional		$83.18	$95.50	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $70.79 / $89.13	Facility		$57.54	$70.79	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $162.18	Professional		$51.29	$79.43	$162.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $77.62 / $194.98	Facility		$60.26	$77.62	$194.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $77.62 / $173.78	Professional		$60.26	$77.62	$173.78