Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.16 / $144.68 / $1,912.38	Facility		$67.16	$144.68	$1,912.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.78 / $90.67 / $104.22	Professional		$66.78	$90.67	$104.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.42 / $88.69 / $258.61	Professional		$71.42	$88.69	$258.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Facility		$139.41	$139.41	$139.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.41 / $139.41 / $139.41	Professional		$139.41	$139.41	$139.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $91.87 / $108.86	Facility		$80.29	$91.87	$108.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38,249.62 / $38,249.62 / $38,249.62	Professional		$38,249.62	$38,249.62	$38,249.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.85 / $50.85 / $50.86	Facility		$50.85	$50.85	$50.86
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $62.50	Professional		$62.50	$62.50	$62.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $80.29 / $91.87 / $597.00	Facility		$80.29	$91.87	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $80.29 / $80.29 / $80.29	Professional		$80.29	$80.29	$80.29
United Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $75.37 / $166.82	Professional		$42.15	$75.37	$166.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $11.48 / $31.71	Facility		$11.48	$11.48	$31.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $31.71	Professional		$11.48	$11.48	$31.71