Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.37 / $115.29 / $194.19	Facility		$51.37	$115.29	$194.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $54.75 / $75.23	Professional		$46.71	$54.75	$75.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $167.47	Facility		$64.41	$64.41	$167.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.82 / $38.64 / $133.66	Professional		$27.82	$38.64	$133.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $64.41 / $64.41	Facility		$38.65	$64.41	$64.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $64.41 / $64.41	Professional		$47.02	$64.41	$64.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $130.72 / $661.97	Facility		$45.01	$130.72	$661.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.93 / $72.31 / $413.16	Professional		$47.93	$72.31	$413.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $83.73 / $332.00	Facility		$10.10	$83.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.44 / $38.65 / $117.87	Professional		$29.44	$38.65	$117.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.41 / $64.41 / $64.41	Facility		$64.41	$64.41	$64.41
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $61.85 / $77.42	Professional		$25.58	$61.85	$77.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.75 / $79.75 / $161.53	Facility		$79.75	$79.75	$161.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $157.51 / $636.63	Facility		$59.04	$157.51	$636.63
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $56.28 / $132.68	Professional		$34.29	$56.28	$132.68
United Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $38.65 / $118.91	Professional		$27.05	$38.65	$118.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.06 / $74.06 / $106.94	Facility		$74.06	$74.06	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $61.19 / $83.09	Professional		$23.71	$61.19	$83.09