Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $233.51 / $760.25	Facility		$32.65	$233.51	$760.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $34.54 / $93.79	Professional		$29.58	$34.54	$93.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,691.00 / $3,382.00 / $4,707.00	Facility		$1,691.00	$3,382.00	$4,707.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $37.09 / $65.03	Professional		$27.59	$37.09	$65.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $815.00 / $4,050.00	Facility		$40.86	$815.00	$4,050.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $40.86 / $40.86	Professional		$40.86	$40.86	$40.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $95.45 / $95.45	Facility		$95.45	$95.45	$95.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.47 / $73.70 / $188.38	Professional		$29.47	$73.70	$188.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.00 / $26.40 / $332.00	Facility		$19.00	$26.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $22.13 / $41.84	Professional		$18.23	$22.13	$41.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.51 / $103.76 / $179.88	Professional		$33.51	$103.76	$179.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $215.00 / $393.23	Facility		$90.21	$215.00	$393.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $95.45 / $555.00 / $74,999.25	Facility		$95.45	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $56.80 / $182.87	Professional		$32.00	$56.80	$182.87
United Facility/Professional Professional Modifier Low / Median / High Price $34.63 / $79.59 / $146.99	Professional		$34.63	$79.59	$146.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $92.96 / $142.19	Facility		$76.84	$92.96	$142.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.94 / $95.11 / $269.45	Professional		$58.94	$95.11	$269.45