Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $70.79 / $138.04	Facility		$30.20	$70.79	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $50.12 / $109.65	Professional		$37.15	$50.12	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $181.97	Facility		$91.20	$91.20	$181.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $151.36	Professional		$54.95	$54.95	$151.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $74.13 / $74.13	Facility		$69.18	$74.13	$74.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $162.18 / $50,118.72	Facility		$60.26	$162.18	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $97.72	Professional		$44.67	$44.67	$97.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $147.91 / $346.74	Facility		$91.20	$147.91	$346.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $95.50 / $173.78	Professional		$53.70	$95.50	$173.78
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $42.66	Facility		$40.74	$40.74	$42.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $56.23	Professional		$40.74	$53.70	$56.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $50,118.72 / $75,857.76	Facility		$87.10	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $87.10 / $87.10	Professional		$58.88	$87.10	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $102.33 / $131.83	Facility		$36.31	$102.33	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $46.77 / $75.86	Professional		$29.51	$46.77	$75.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $51.29 / $53.70	Facility		$40.74	$51.29	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $56.23	Professional		$40.74	$53.70	$56.23