Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $79.67 / $145.55	Facility		$51.07	$79.67	$145.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $58.46 / $76.59	Professional		$43.41	$58.46	$76.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.07 / $51.07 / $132.78	Facility		$51.07	$51.07	$132.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.43 / $20.43 / $73.64	Professional		$20.43	$20.43	$73.64
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.64 / $51.07 / $51.07	Facility		$30.64	$51.07	$51.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.07 / $51.07 / $51.07	Professional		$51.07	$51.07	$51.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $107.90 / $135.99	Facility		$62.64	$107.90	$135.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.11 / $79.13 / $165.88	Professional		$31.11	$79.13	$165.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.28 / $175.00 / $332.00	Facility		$61.28	$175.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.75 / $53.62 / $95.50	Professional		$35.75	$53.62	$95.50
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.86 / $48.52 / $92.60	Professional		$40.86	$48.52	$92.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $667.20 / $667.20 / $667.20	Facility		$667.20	$667.20	$667.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $49.80 / $124.29 / $254.50	Facility		$49.80	$124.29	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.46 / $62.64 / $164.37	Professional		$32.46	$62.64	$164.37
United Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $30.64 / $77.40	Professional		$21.45	$30.64	$77.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.13 / $54.13 / $54.13	Facility		$54.13	$54.13	$54.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $51.07 / $60.11	Professional		$43.41	$51.07	$60.11