Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.02 / $136.12 / $221.67	Facility		$56.02	$136.12	$221.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $45.11 / $77.78	Professional		$28.01	$45.11	$77.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.78 / $77.78 / $202.23	Facility		$77.78	$77.78	$202.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $33.64 / $108.11	Professional		$19.07	$33.64	$108.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.67 / $77.78 / $77.78	Facility		$46.67	$77.78	$77.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.78 / $77.78 / $77.78	Professional		$56.78	$77.78	$77.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $157.57 / $405.41	Facility		$54.35	$157.57	$405.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $78.90 / $374.90	Professional		$29.01	$78.90	$374.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $101.11 / $332.00	Facility		$21.00	$101.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.47 / $45.89 / $142.34	Professional		$28.47	$45.89	$142.34
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Facility		$23.40	$23.40	$23.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $36.22 / $81.54	Professional		$23.40	$36.22	$81.54
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.40 / $166.40 / $199.84	Facility		$166.40	$166.40	$199.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $54.35 / $189.84 / $450.46	Facility		$54.35	$189.84	$450.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $52.70 / $120.56	Professional		$30.05	$52.70	$120.56
United Facility/Professional Professional Modifier Low / Median / High Price $27.53 / $38.11 / $116.67	Professional		$27.53	$38.11	$116.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $89.44 / $89.44 / $123.91	Facility		$89.44	$89.44	$123.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $44.80 / $93.48	Professional		$29.89	$44.80	$93.48