Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $45.71 / $125.89	Facility		$22.91	$45.71	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $33.88 / $85.11	Professional		$23.44	$33.88	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $112.20	Facility		$54.95	$54.95	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $93.33	Professional		$33.88	$33.88	$93.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $45.71 / $45.71	Facility		$42.66	$45.71	$45.71
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $97.72 / $50,118.72	Facility		$36.31	$97.72	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $60.26	Professional		$26.92	$26.92	$60.26
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $91.20 / $213.80	Facility		$54.95	$91.20	$213.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $58.88 / $107.15	Professional		$34.67	$58.88	$107.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $33.88	Facility		$32.36	$32.36	$33.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Professional		$43.65	$43.65	$43.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $50,118.72 / $75,857.76	Facility		$69.18	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $53.70 / $53.70	Professional		$36.31	$53.70	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $63.10 / $74.13	Facility		$22.39	$63.10	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.84 / $46.77	Professional		$18.20	$28.84	$46.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $38.90	Facility		$30.90	$32.36	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $32.36 / $33.11	Professional		$31.62	$32.36	$33.11