Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $42.66 / $524.81	Facility		$26.30	$42.66	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $26.30 / $74.13	Professional		$25.70	$26.30	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $27.54	Facility		$26.30	$26.30	$27.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Professional		$26.30	$26.30	$26.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $53.70	Facility		$50.12	$50.12	$53.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $151.36	Facility		$24.55	$24.55	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $33.88	Professional		$26.30	$26.30	$33.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $34.67 / $97.72	Facility		$26.92	$34.67	$97.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $42.66	Professional		$30.20	$30.90	$42.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.89	Facility		$20.42	$20.42	$20.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $20.89	Professional		$20.42	$20.89	$20.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $338.84 / $53,703.18	Facility		$30.90	$338.84	$53,703.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $53.70 / $53.70	Professional		$34.67	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $26.30 / $34.67	Professional		$24.55	$26.30	$34.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $23.44	Facility		$20.42	$20.42	$23.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.89 / $20.89	Professional		$20.42	$20.89	$20.89