Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.43 / $123.34 / $123.34	Facility		$71.43	$123.34	$123.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $123.34 / $219.09	Professional		$60.70	$123.34	$219.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $67.95 / $142.12	Professional		$56.42	$67.95	$142.12
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Facility		$117.93	$117.93	$117.93
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $117.93 / $117.93 / $117.93	Professional		$117.93	$117.93	$117.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $108.25 / $108.25	Facility		$108.25	$108.25	$108.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $32.45 / $332.00	Facility		$20.03	$32.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $35.36 / $108.58	Professional		$24.15	$35.36	$108.58
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $28.15 / $42.31	Professional		$17.67	$28.15	$42.31
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $23.08 / $32.72	Professional		$23.08	$23.08	$32.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $108.25 / $555.00 / $74,999.25	Facility		$108.25	$555.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $73.14	Professional		$73.14	$73.14	$73.14
United Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $27.29 / $89.76	Professional		$16.05	$27.29	$89.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.08 / $23.08 / $23.33	Facility		$23.08	$23.08	$23.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $28.24 / $54.93	Professional		$17.73	$28.24	$54.93