Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $53.70 / $141.25	Facility		$28.84	$53.70	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $41.69 / $63.10	Professional		$22.91	$41.69	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $165.96	Professional		$63.10	$114.82	$165.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $54.95 / $54.95	Facility		$51.29	$54.95	$54.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $107.15 / $50,118.72	Facility		$39.81	$107.15	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $66.07	Professional		$33.88	$33.88	$66.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $112.20 / $257.04	Facility		$67.61	$112.20	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $74.13 / $131.83	Professional		$41.69	$74.13	$131.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $52.48	Facility		$50.12	$50.12	$52.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $50.12	Professional		$39.81	$42.66	$50.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $50,118.72 / $75,857.76	Facility		$107.15	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $64.57 / $64.57	Professional		$44.67	$64.57	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $37.15 / $43.65	Facility		$21.38	$37.15	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $57.54	Professional		$21.88	$33.11	$57.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $52.48	Facility		$39.81	$47.86	$52.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $42.66 / $50.12	Professional		$39.81	$42.66	$50.12