Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $123.03 / $380.19	Facility		$25.12	$123.03	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $112.20	Professional		$20.89	$28.84	$112.20
Aetna Facility/Professional Professional Modifier CQ Low / Median / High Price $204.17 / $204.17 / $204.17	Professional	CQ	$204.17	$204.17	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $58.88 / $75.86	Professional		$26.30	$58.88	$75.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $50,118.72	Facility		$58.88	$79.43	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $41.69 / $128.82	Professional		$21.88	$41.69	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $43.65 / $144.54	Facility		$26.92	$43.65	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $81.28	Professional		$29.51	$46.77	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $44.67 / $50.12	Facility		$35.48	$44.67	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $45.71 / $67.61	Professional		$30.20	$45.71	$67.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $30.90	Professional		$30.20	$30.90	$30.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $51.29 / $81.28	Professional		$44.67	$51.29	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $37.15 / $46.77	Facility		$29.51	$37.15	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $36.31 / $69.18	Professional		$26.30	$36.31	$69.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $114.82	Facility		$26.92	$40.74	$114.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $40.74 / $87.10	Professional		$30.20	$40.74	$87.10