Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $93.33 / $9,332.54	Facility		$57.54	$93.33	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $60.26 / $6,025.60	Professional		$57.54	$60.26	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Facility		$57.54	$57.54	$60.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $50.12	Facility		$47.86	$47.86	$50.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Professional		$47.86	$47.86	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $53.70 / $85.11	Facility		$50.12	$53.70	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $239.88	Professional		$57.54	$57.54	$239.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $70.79 / $194.98	Facility		$53.70	$70.79	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $69.18	Professional		$58.88	$58.88	$69.18
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $56.23	Facility		$40.74	$40.74	$56.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $56.23	Professional		$40.74	$56.23	$56.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $117.49 / $53,703.18	Facility		$61.66	$117.49	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Facility		$57.54	$57.54	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $83.18	Professional		$54.95	$57.54	$83.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $48.98 / $56.23	Facility		$40.74	$48.98	$56.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $56.23	Professional		$40.74	$56.23	$56.23