Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.56 / $107.84 / $250.08	Facility		$55.56	$107.84	$250.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $67.20 / $80.39	Professional		$48.53	$67.20	$80.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.36 / $65.36 / $169.94	Facility		$65.36	$65.36	$169.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.28 / $36.60 / $151.69	Professional		$32.28	$36.60	$151.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.22 / $65.36 / $65.36	Facility		$39.22	$65.36	$65.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $65.36 / $65.36	Professional		$47.71	$65.36	$65.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $138.06 / $174.18	Facility		$79.98	$138.06	$174.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.03 / $105.93 / $261.67	Professional		$44.03	$105.93	$261.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $84.97 / $332.00	Facility		$29.00	$84.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.75 / $68.19 / $119.61	Professional		$45.75	$68.19	$119.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $65.36 / $118.52	Professional		$55.56	$65.36	$118.52
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.60 / $125.13 / $296.77	Facility		$52.60	$125.13	$296.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.72 / $159.19 / $254.50	Facility		$63.72	$159.19	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $95.46 / $210.53	Professional		$52.29	$95.46	$210.53
United Facility/Professional Professional Modifier Low / Median / High Price $27.45 / $39.22 / $105.35	Professional		$27.45	$39.22	$105.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.28 / $69.28 / $112.04	Facility		$69.28	$69.28	$112.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $65.36 / $118.06	Professional		$55.56	$65.36	$118.06