Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $194.98 / $501.19	Facility		$28.84	$194.98	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $30.20 / $36.31	Professional		$28.18	$30.20	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.90	Professional		$30.20	$30.20	$30.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $50,118.72	Facility		$30.90	$32.36	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $162.18	Professional		$30.90	$30.90	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $43.65	Facility		$25.70	$25.70	$43.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $25.70 / $25.70	Professional		$21.88	$25.70	$25.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $31.62 / $31.62	Facility		$25.70	$31.62	$31.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Professional		$25.70	$25.70	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $251.19 / $1,348.96	Facility		$30.90	$251.19	$1,348.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $41.69	Professional		$30.20	$30.20	$41.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $31.62 / $31.62	Facility		$20.42	$31.62	$31.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $31.62	Professional		$25.70	$25.70	$31.62