Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $117.49 / $35,481.34	Facility		$81.28	$117.49	$35,481.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $112.20	Professional		$81.28	$81.28	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $70.79	Facility		$64.57	$64.57	$70.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $64.57	Professional		$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $77.62 / $114.82	Facility		$70.79	$77.62	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $91.20	Professional		$81.28	$81.28	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $100.00 / $281.84	Facility		$77.62	$100.00	$281.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $102.33	Professional		$81.28	$81.28	$102.33
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $85.11	Facility		$81.28	$81.28	$85.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $50,118.72 / $75,857.76	Facility		$104.71	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $97.72	Professional		$75.86	$81.28	$97.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $97.72	Facility		$81.28	$81.28	$97.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $85.11 / $85.11	Professional		$81.28	$85.11	$85.11