Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $97.72 / $9,549.93	Facility		$48.98	$97.72	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $83.18	Professional		$48.98	$48.98	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $51.29	Facility		$48.98	$48.98	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Professional		$48.98	$48.98	$48.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Facility		$46.77	$46.77	$48.98
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 $46.77 / $46.77 / $85.11	Facility		$46.77	$46.77	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $208.93	Professional		$48.98	$48.98	$208.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $61.66 / $169.82	Facility		$46.77	$61.66	$169.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $91.20	Professional		$53.70	$53.70	$91.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $53.70	Facility		$39.81	$39.81	$53.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $53.70	Professional		$39.81	$48.98	$53.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $60.26 / $112.20	Facility		$28.84	$60.26	$112.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $162.18 / $53,703.18	Facility		$52.48	$162.18	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $54.95 / $79.43	Professional		$47.86	$54.95	$79.43
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $53.70	Facility		$39.81	$47.86	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $53.70	Professional		$39.81	$48.98	$53.70