Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.19 / $96.97 / $254.40	Facility		$54.19	$96.97	$254.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.52 / $70.00 / $98.89	Professional		$28.52	$70.00	$98.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.04 / $57.04 / $148.30	Facility		$57.04	$57.04	$148.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.82 / $25.87 / $94.96	Professional		$22.82	$25.87	$94.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $57.04 / $57.04	Facility		$34.22	$57.04	$57.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.04 / $57.04 / $57.04	Professional		$57.04	$57.04	$57.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.83 / $120.51 / $198.85	Facility		$69.83	$120.51	$198.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.61 / $88.34 / $184.57	Professional		$34.61	$88.34	$184.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $178.00 / $332.00	Facility		$68.45	$178.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $59.89 / $106.66	Professional		$39.93	$59.89	$106.66
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $54.19 / $101.73	Professional		$45.63	$54.19	$101.73
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $253.26 / $484.80	Facility		$30.60	$253.26	$484.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.62 / $138.77 / $254.55	Facility		$55.62	$138.77	$254.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.08 / $70.29 / $183.64	Professional		$37.08	$70.29	$183.64
United Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $34.22 / $86.45	Professional		$23.96	$34.22	$86.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.56 / $60.46 / $60.46	Facility		$26.56	$60.46	$60.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $48.48 / $57.04 / $67.14	Professional		$48.48	$57.04	$67.14