Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $69.18 / $707.95	Facility		$13.18	$69.18	$707.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $26.30 / $138.04	Professional		$11.22	$26.30	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $48.98	Professional		$10.72	$15.14	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $47.86 / $67.61	Professional		$40.74	$47.86	$67.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $17.38 / $72.44	Professional		$17.38	$17.38	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $53,703.18	Facility		$19.50	$19.50	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $45.71 / $120.23	Professional		$13.18	$45.71	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $12.88 / $32.36	Facility		$7.76	$12.88	$32.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $74.13 / $117.49	Professional		$60.26	$74.13	$117.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $61.66 / $104.71	Professional		$40.74	$61.66	$104.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $245.47 / $489.78	Facility		$93.33	$245.47	$489.78
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $50,118.72 / $75,857.76	Facility		$14.45	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $69.18 / $131.83	Professional		$58.88	$69.18	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $40.74 / $79.43	Professional		$10.47	$40.74	$79.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $13.18 / $16.22	Facility		$9.77	$13.18	$16.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $52.48 / $85.11	Professional		$38.02	$52.48	$85.11