Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.18 / $156.00 / $279.61	Facility		$54.18	$156.00	$279.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.71 / $58.10 / $98.11	Professional		$46.71	$58.10	$98.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $255.09	Facility		$98.11	$98.11	$255.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $59.35 / $161.63	Professional		$39.24	$59.35	$161.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.87 / $98.11 / $98.11	Facility		$58.87	$98.11	$98.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $98.11 / $98.11	Professional		$71.62	$98.11	$98.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.91 / $198.55 / $261.73	Facility		$119.91	$198.55	$261.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.40 / $99.35 / $472.89	Professional		$51.40	$99.35	$472.89
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $127.54 / $332.00	Facility		$18.00	$127.54	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.84 / $58.87 / $179.54	Professional		$44.84	$58.87	$179.54
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $71.91 / $71.91 / $71.91	Facility		$71.91	$71.91	$71.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.58 / $71.91 / $102.85	Professional		$25.58	$71.91	$102.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.24 / $107.10 / $437.06	Facility		$33.24	$107.10	$437.06
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.38 / $65.38 / $65.38	Professional		$65.38	$65.38	$65.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.92 / $239.22 / $352.84	Facility		$89.92	$239.22	$352.84
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $71.27 / $202.11	Professional		$62.36	$71.27	$202.11
United Facility/Professional Professional Modifier Low / Median / High Price $41.21 / $49.89 / $191.31	Professional		$41.21	$49.89	$191.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.84 / $112.82 / $112.82	Facility		$64.84	$112.82	$112.82
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.71 / $61.85 / $117.92	Professional		$23.71	$61.85	$117.92