Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.91 / $106.48 / $30,274.11	Facility		$81.91	$106.48	$30,274.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $82.08 / $95.02	Professional		$82.08	$82.08	$95.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.66 / $65.66 / $82.07	Facility		$65.66	$65.66	$82.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.87 / $82.08 / $82.08	Professional		$72.87	$82.08	$82.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.81 / $64.81 / $71.29	Facility		$64.81	$64.81	$71.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.81 / $64.81 / $64.81	Professional		$64.81	$64.81	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $77.43 / $78.98	Facility		$70.13	$77.43	$78.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $82.07	Professional		$82.07	$82.07	$82.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.07 / $123.11 / $332.00	Facility		$82.07	$123.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $100.14	Professional		$82.07	$82.07	$100.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.08 / $82.08 / $85.17	Facility		$82.08	$82.08	$85.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $85.17 / $85.17	Professional		$82.08	$85.17	$85.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $101.91 / $101.91	Facility		$101.91	$101.91	$101.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.13 / $77.43 / $100.13	Facility		$70.13	$77.43	$100.13
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $82.07 / $92.92	Professional		$82.07	$82.07	$92.92
United Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $85.98 / $109.99	Professional		$82.08	$85.98	$109.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.17 / $85.17 / $85.17	Facility		$85.17	$85.17	$85.17
Univera Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $85.17 / $85.17	Professional		$82.08	$85.17	$85.17