Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.93 / $92.19 / $167.39	Facility		$39.93	$92.19	$167.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.89 / $42.28 / $54.03	Professional		$34.89	$42.28	$54.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $122.15	Facility		$46.98	$46.98	$122.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.04 / $28.42 / $106.04	Professional		$22.04	$28.42	$106.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.19 / $46.98 / $46.98	Facility		$28.19	$46.98	$46.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.29 / $46.98 / $46.98	Professional		$34.29	$46.98	$46.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $99.26 / $482.27	Facility		$32.83	$99.26	$482.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $52.96 / $301.13	Professional		$34.92	$52.96	$301.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.10 / $61.71 / $332.00	Facility		$30.10	$61.71	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.47 / $28.19 / $85.97	Professional		$21.47	$28.19	$85.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Facility		$46.98	$46.98	$46.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.93 / $46.98 / $60.60	Professional		$39.93	$46.98	$60.60
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $76.36 / $209.28	Facility		$31.16	$76.36	$209.28
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.06 / $114.93 / $561.03	Facility		$43.06	$114.93	$561.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.56 / $64.59 / $96.78	Professional		$37.56	$64.59	$96.78
United Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $28.19 / $70.41	Professional		$19.73	$28.19	$70.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.03 / $54.03 / $173.07	Facility		$54.03	$54.03	$173.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $50.82 / $62.37	Professional		$38.36	$50.82	$62.37