Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $204.17 / $851.14	Facility		$93.33	$204.17	$851.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $100.00 / $295.12	Professional		$93.33	$100.00	$295.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $102.33 / $104.71	Facility		$93.33	$102.33	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $91.20	Facility		$87.10	$87.10	$91.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $138.04	Facility		$89.13	$89.13	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $398.11	Professional		$93.33	$93.33	$398.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $117.49 / $323.59	Facility		$89.13	$117.49	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $123.03	Professional		$102.33	$102.33	$123.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $97.72	Facility		$74.13	$74.13	$97.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $97.72	Professional		$74.13	$95.50	$97.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $107.15 / $251.19	Facility		$26.30	$107.15	$251.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $204.17 / $53,703.18	Facility		$104.71	$204.17	$53,703.18
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $134.90	Professional		$91.20	$93.33	$134.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $89.13 / $97.72	Facility		$74.13	$89.13	$97.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $95.50 / $97.72	Professional		$48.98	$95.50	$97.72