Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.10 / $72.02 / $144.04	Facility		$37.10	$72.02	$144.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $43.65 / $66.48	Professional		$32.40	$43.65	$66.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $113.49	Facility		$43.65	$43.65	$113.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $26.71 / $104.25	Professional		$21.56	$26.71	$104.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.19 / $43.65 / $43.65	Facility		$26.19	$43.65	$43.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.86 / $43.65 / $43.65	Professional		$31.86	$43.65	$43.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $92.20 / $116.43	Facility		$53.34	$92.20	$116.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $70.80 / $175.23	Professional		$29.35	$70.80	$175.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.00 / $59.45 / $332.00	Facility		$29.00	$59.45	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $45.54 / $79.88	Professional		$30.56	$45.54	$79.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $43.65 / $79.15	Professional		$41.47	$43.65	$79.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $109.12 / $150.50	Facility		$30.60	$109.12	$150.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.56 / $106.41 / $254.50	Facility		$42.56	$106.41	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $67.66 / $140.72	Professional		$34.92	$67.66	$140.72
United Facility/Professional Professional Modifier Low / Median / High Price $18.32 / $26.19 / $80.59	Professional		$18.32	$26.19	$80.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.27 / $46.27 / $112.04	Facility		$46.27	$46.27	$112.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $47.08 / $116.00	Professional		$37.10	$47.08	$116.00