Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $69.05 / $150.26	Facility		$30.06	$69.05	$150.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.04 / $20.04 / $36.92	Professional		$20.04	$20.04	$36.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $4.59 / $43.43	Professional		$4.59	$4.59	$43.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $43.43	Facility		$43.43	$43.43	$43.43
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $43.43 / $43.43	Professional		$31.70	$43.43	$43.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $91.75 / $112.29	Facility		$52.12	$91.75	$112.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.97 / $209.33 / $209.33	Professional		$52.97	$209.33	$209.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $91.20 / $332.00	Facility		$43.43	$91.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $57.33 / $94.24	Professional		$45.60	$57.33	$94.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $43.43 / $78.75	Professional		$36.92	$43.43	$78.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.31 / $162.31 / $162.31	Facility		$162.31	$162.31	$162.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $105.58 / $151.50	Facility		$52.12	$105.58	$151.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.23 / $47.34 / $99.89	Professional		$28.23	$47.34	$99.89
United Facility/Professional Professional Modifier Low / Median / High Price $18.23 / $26.06 / $65.81	Professional		$18.23	$26.06	$65.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $49.94 / $49.94	Facility		$43.43	$49.94	$49.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.92 / $43.43 / $52.20	Professional		$36.92	$43.43	$52.20