Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.93 / $101.93 / $186.22	Facility		$52.93	$101.93	$186.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $55.54 / $86.35	Professional		$32.40	$55.54	$86.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $65.34 / $169.88	Facility		$65.34	$65.34	$169.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.14 / $35.09 / $128.91	Professional		$26.14	$35.09	$128.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.20 / $65.34 / $65.34	Facility		$39.20	$65.34	$65.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.70 / $65.34 / $65.34	Professional		$47.70	$65.34	$65.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $138.03 / $174.18	Facility		$79.98	$138.03	$174.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.20 / $92.74 / $212.61	Professional		$39.20	$92.74	$212.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $84.94 / $332.00	Facility		$29.00	$84.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.74 / $68.17 / $119.57	Professional		$45.74	$68.17	$119.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.54 / $65.34 / $118.48	Professional		$55.54	$65.34	$118.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $57.65 / $319.10	Facility		$30.60	$57.65	$319.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $159.19 / $254.50	Facility		$63.71	$159.19	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.95 / $83.74 / $196.02	Professional		$39.95	$83.74	$196.02
United Facility/Professional Professional Modifier Low / Median / High Price $27.44 / $39.20 / $99.03	Professional		$27.44	$39.20	$99.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $69.26 / $69.26 / $114.40	Facility		$69.26	$69.26	$114.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.07 / $69.26 / $120.53	Professional		$62.07	$69.26	$120.53