Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $83.18 / $8,912.51	Facility		$46.77	$83.18	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $57.54 / $9,549.93	Professional		$46.77	$57.54	$9,549.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $48.98	Facility		$46.77	$46.77	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
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 $44.67 / $44.67 / $89.13	Facility		$44.67	$44.67	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $190.55	Professional		$46.77	$46.77	$190.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $60.26 / $165.96	Facility		$46.77	$60.26	$165.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $89.13	Professional		$53.70	$53.70	$89.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $38.90 / $46.77	Facility		$38.90	$38.90	$46.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $46.77	Professional		$38.90	$45.71	$46.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $64.57 / $95.50	Facility		$51.29	$64.57	$95.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $190.55 / $53,703.18	Facility		$52.48	$190.55	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Facility		$46.77	$46.77	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $74.13	Professional		$44.67	$52.48	$74.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $45.71 / $46.77	Facility		$38.90	$45.71	$46.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $45.71 / $46.77	Professional		$38.90	$45.71	$46.77