Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.53 / $59.02 / $16,753.99	Facility		$47.53	$59.02	$16,753.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $48.00 / $71.65	Professional		$47.53	$48.00	$71.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $47.52	Facility		$38.02	$38.02	$47.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.12 / $47.53 / $63.20	Professional		$44.12	$47.53	$63.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.61 / $41.61 / $1,208.00	Facility		$41.61	$41.61	$1,208.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.61 / $41.61 / $41.61	Professional		$41.61	$41.61	$41.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $44.83 / $47.52	Facility		$44.58	$44.83	$47.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $47.52 / $47.52	Professional		$47.52	$47.52	$47.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.83 / $67.25 / $332.00	Facility		$44.83	$67.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.56 / $51.56 / $122.38	Professional		$51.56	$51.56	$122.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $51.56	Facility		$39.04	$39.04	$51.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $46.86 / $51.56	Professional		$39.04	$46.86	$51.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $44.58 / $44.83 / $555.00	Facility		$44.58	$44.83	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $48.09 / $65.22	Professional		$47.52	$48.09	$65.22
United Facility/Professional Professional Modifier Low / Median / High Price $47.53 / $53.23 / $74.47	Professional		$47.53	$53.23	$74.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.56 / $51.56 / $51.56	Facility		$51.56	$51.56	$51.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $47.53 / $51.56	Professional		$42.00	$47.53	$51.56