Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $72.44 / $104.71	Facility		$30.20	$72.44	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $47.86 / $81.28	Professional		$37.15	$47.86	$81.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $186.21	Facility		$93.33	$93.33	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $158.49	Professional		$51.29	$51.29	$158.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $75.86	Facility		$70.79	$75.86	$75.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $147.91 / $50,118.72	Facility		$56.23	$147.91	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $91.20	Professional		$41.69	$41.69	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $151.36 / $354.81	Facility		$93.33	$151.36	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $97.72 / $177.83	Professional		$57.54	$97.72	$177.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $74.13	Facility		$70.79	$70.79	$74.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $70.79	Professional		$52.48	$56.23	$70.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $50,118.72 / $75,857.76	Facility		$151.36	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $89.13 / $89.13	Professional		$60.26	$89.13	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $51.29 / $112.20	Facility		$33.88	$51.29	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $46.77 / $77.62	Professional		$30.20	$46.77	$77.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $56.23 / $74.13	Facility		$52.48	$56.23	$74.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $56.23 / $70.79	Professional		$52.48	$56.23	$70.79