Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.73 / $47.84 / $392.04	Facility		$24.73	$47.84	$392.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $40.03 / $75.19	Professional		$22.90	$40.03	$75.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $48.98 / $96.18	Professional		$22.45	$48.98	$96.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.34 / $39.34 / $39.34	Facility		$39.34	$39.34	$39.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $39.34 / $71.33	Professional		$39.34	$39.34	$71.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $43.42 / $43.42	Facility		$43.42	$43.42	$43.42
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $4.34 / $4.34 / $4.34	Facility	AS	$4.34	$4.34	$4.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $46.67 / $113.94	Professional		$19.62	$46.67	$113.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.00 / $42.41 / $332.00	Facility		$28.00	$42.41	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $69.28 / $139.22	Professional		$59.49	$69.28	$139.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.33 / $63.66 / $108.66	Professional		$40.33	$63.66	$108.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $644.65 / $644.65 / $691.71	Facility		$644.65	$644.65	$691.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.42 / $555.00 / $74,999.25	Facility		$43.42	$555.00	$74,999.25
MVP Health Care Facility/Professional Facility Modifier AS Low / Median / High Price $4.34 / $4.34 / $4.34	Facility	AS	$4.34	$4.34	$4.34
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.94 / $57.90 / $119.74	Professional		$27.94	$57.90	$119.74
United Facility/Professional Professional Modifier Low / Median / High Price $37.82 / $53.55 / $109.63	Professional		$37.82	$53.55	$109.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $120.99	Facility		$29.51	$29.51	$120.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.83 / $63.66 / $121.47	Professional		$38.83	$63.66	$121.47