Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.07 / $68.84 / $113.66	Facility		$25.07	$68.84	$113.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.98 / $59.97 / $104.21	Professional		$21.98	$59.97	$104.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.07 / $71.34 / $101.05	Professional		$57.07	$71.34	$101.05
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $35.47 / $35.47	Facility		$35.47	$35.47	$35.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $35.47 / $121.89	Professional		$35.47	$35.47	$121.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $38.79	Facility		$38.79	$38.79	$38.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.92 / $67.87 / $161.71	Professional		$24.92	$67.87	$161.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $29.13 / $332.00	Facility		$15.26	$29.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $80.56 / $131.22	Professional		$67.98	$80.56	$131.22
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $74.45 / $128.16	Professional		$54.72	$74.45	$128.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $488.80 / $488.80 / $535.87	Facility		$488.80	$488.80	$535.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.79 / $38.79 / $74,999.25	Facility		$38.79	$38.79	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $82.67 / $240.30	Professional		$26.37	$82.67	$240.30
United Facility/Professional Professional Modifier Low / Median / High Price $55.85 / $81.92 / $169.88	Professional		$55.85	$81.92	$169.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $31.56	Facility		$26.30	$26.30	$31.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.72 / $66.28 / $111.31	Professional		$54.72	$66.28	$111.31