Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.47 / $122.72 / $285.01	Facility		$58.47	$122.72	$285.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $52.18 / $61.36	Professional		$39.34	$52.18	$61.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.19 / $72.19 / $187.69	Facility		$72.19	$72.19	$187.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $43.67 / $129.16	Professional		$28.88	$43.67	$129.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $72.19 / $72.19	Facility		$43.31	$72.19	$72.19
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.70 / $72.19 / $72.19	Professional		$52.70	$72.19	$72.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $146.28 / $187.44	Facility		$50.44	$146.28	$187.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $69.25 / $347.96	Professional		$39.53	$69.25	$347.96
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.34 / $97.47 / $332.00	Facility		$56.34	$97.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $43.31 / $132.11	Professional		$28.88	$43.31	$132.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.33 / $58.33 / $58.33	Facility		$58.33	$58.33	$58.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.34 / $61.36 / $79.09	Professional		$46.34	$61.36	$79.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.31 / $180.47 / $609.21	Facility		$62.31	$180.47	$609.21
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $153.09 / $254.50	Facility		$50.44	$153.09	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $54.14 / $111.89	Professional		$46.71	$54.14	$111.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $43.31 / $106.03	Professional		$30.32	$43.31	$106.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $76.52 / $76.52 / $93.51	Facility		$76.52	$76.52	$93.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.21 / $72.19 / $84.97	Professional		$45.21	$72.19	$84.97