Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.19 / $157.61 / $272.23	Facility		$81.19	$157.61	$272.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $56.13 / $95.52	Professional		$45.44	$56.13	$95.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.52 / $95.52 / $248.35	Facility		$95.52	$95.52	$248.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.86 / $57.78 / $161.55	Professional		$39.86	$57.78	$161.55
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $57.31 / $95.52 / $95.52	Facility		$57.31	$95.52	$95.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.73 / $95.52 / $95.52	Professional		$69.73	$95.52	$95.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $193.62 / $248.11	Facility		$66.75	$193.62	$248.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $91.61 / $460.41	Professional		$60.08	$91.61	$460.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $124.18 / $332.00	Facility		$49.00	$124.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $57.31 / $174.80	Professional		$38.21	$57.31	$174.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $90.74 / $135.27	Professional		$67.26	$90.74	$135.27
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.00 / $272.57 / $355.20	Facility		$119.00	$272.57	$355.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.75 / $233.28 / $343.52	Facility		$66.75	$233.28	$343.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.79 / $84.14 / $172.14	Professional		$64.79	$84.14	$172.14
United Facility/Professional Facility Modifier Low / Median / High Price $55.40 / $58.71 / $62.09	Facility		$55.40	$58.71	$62.09
United Facility/Professional Professional Modifier Low / Median / High Price $40.11 / $52.54 / $140.29	Professional		$40.11	$52.54	$140.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $109.85 / $109.85 / $206.27	Facility		$109.85	$109.85	$206.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.26 / $100.14 / $160.63	Professional		$67.26	$100.14	$160.63