Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $57.54 / $104.71	Facility		$44.67	$57.54	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $46.77 / $4,073.80	Professional		$43.65	$46.77	$4,073.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Facility		$44.67	$44.67	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $46.77	Facility		$44.67	$44.67	$46.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $85.11	Facility		$42.66	$42.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $186.21	Professional		$44.67	$44.67	$186.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $54.95 / $151.36	Facility		$42.66	$54.95	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $81.28	Professional		$46.77	$46.77	$81.28
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Facility		$36.31	$36.31	$44.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $43.65 / $44.67	Professional		$36.31	$43.65	$44.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $50,118.72 / $75,857.76	Facility		$57.54	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $44.67 / $75.86	Professional		$43.65	$44.67	$75.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $44.67	Facility		$36.31	$43.65	$44.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $43.65 / $44.67	Professional		$22.91	$43.65	$44.67