Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $3,311.31 / $11,220.18	Facility		$30.20	$3,311.31	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $36.31 / $6,025.60	Professional		$30.20	$36.31	$6,025.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $31.62	Facility		$30.20	$30.20	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $60.26	Facility		$57.54	$57.54	$60.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $87.10	Facility		$24.55	$24.55	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $125.89	Professional		$30.20	$30.20	$125.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $100.00	Facility		$29.51	$38.02	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $57.54	Professional		$25.12	$29.51	$57.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $33.11	Facility		$29.51	$29.51	$33.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $33.11	Professional		$29.51	$29.51	$33.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $42.66	Facility		$20.89	$20.89	$42.66
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50,118.72 / $75,857.76	Facility		$39.81	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $66.07	Professional		$30.20	$42.66	$66.07
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $35.48	Facility		$29.51	$29.51	$35.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.11 / $35.48	Professional		$29.51	$33.11	$35.48