Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $101.70 / $221.30	Facility		$63.96	$101.70	$221.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $66.55 / $76.93	Professional		$45.00	$66.55	$76.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $166.30	Facility		$63.96	$63.96	$166.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $25.58 / $92.23	Professional		$25.58	$25.58	$92.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $63.96 / $63.96	Facility		$38.38	$63.96	$63.96
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $63.96 / $63.96	Professional		$63.96	$63.96	$63.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $78.30 / $135.10 / $170.46	Facility		$78.30	$135.10	$170.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $99.18 / $207.94	Professional		$38.77	$99.18	$207.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $76.75 / $138.00 / $332.00	Facility		$76.75	$138.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $67.16 / $119.61	Professional		$44.77	$67.16	$119.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $60.76 / $114.08	Professional		$51.17	$60.76	$114.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Facility		$16.05	$16.05	$16.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.36 / $155.79 / $254.50	Facility		$62.36	$155.79	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.46 / $90.00 / $191.88	Professional		$40.46	$90.00	$191.88
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $38.38 / $99.14	Professional		$26.86	$38.38	$99.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.80 / $67.80 / $67.80	Facility		$67.80	$67.80	$67.80
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.37 / $63.96 / $75.28	Professional		$54.37	$63.96	$75.28