Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $137.85 / $351.31	Facility		$66.95	$137.85	$351.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $33.14 / $78.77	Professional		$21.06	$33.14	$78.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.77 / $78.77 / $204.80	Facility		$78.77	$78.77	$204.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $31.51 / $105.48	Professional		$14.35	$31.51	$105.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.26 / $78.77 / $78.77	Facility		$47.26	$78.77	$78.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $78.77 / $78.77	Professional		$57.50	$78.77	$78.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $159.69 / $304.93	Facility		$55.04	$159.69	$304.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.82 / $75.77 / $379.67	Professional		$21.82	$75.77	$379.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $102.40 / $332.00	Facility		$13.10	$102.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $46.47 / $144.15	Professional		$31.51	$46.47	$144.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.13 / $24.13 / $24.13	Facility		$24.13	$24.13	$24.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.13 / $30.82 / $82.58	Professional		$24.13	$30.82	$82.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $135.15 / $384.69	Facility		$52.49	$135.15	$384.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $55.04 / $192.40 / $338.81	Facility		$55.04	$192.40	$338.81
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $39.61 / $122.09	Professional		$13.50	$39.61	$122.09
United Facility/Professional Professional Modifier Low / Median / High Price $21.81 / $33.08 / $115.69	Professional		$21.81	$33.08	$115.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $90.58 / $104.55	Facility		$77.05	$90.58	$104.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $33.70 / $94.67	Professional		$23.69	$33.70	$94.67