Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.68 / $80.50 / $192.04	Facility		$31.68	$80.50	$192.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.65 / $58.50	Professional		$26.05	$31.65	$58.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.27 / $37.27 / $96.90	Facility		$37.27	$37.27	$96.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $23.74 / $94.39	Professional		$17.32	$23.74	$94.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $37.27 / $37.27	Facility		$22.36	$37.27	$37.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.21 / $37.27 / $37.27	Professional		$27.21	$37.27	$37.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.66 / $76.45 / $99.66	Facility		$45.66	$76.45	$99.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $62.66 / $140.18	Professional		$26.03	$62.66	$140.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $52.18 / $332.00	Facility		$26.80	$52.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $39.13 / $69.69	Professional		$26.09	$39.13	$69.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $37.27 / $67.58	Professional		$31.68	$37.27	$67.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $75.87 / $160.91	Facility		$30.60	$75.87	$160.91
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.35 / $91.09 / $254.50	Facility		$36.35	$91.09	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $69.97 / $120.46	Professional		$28.16	$69.97	$120.46
United Facility/Professional Professional Modifier Low / Median / High Price $15.65 / $22.36 / $56.49	Professional		$15.65	$22.36	$56.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.86 / $42.86 / $118.05	Facility		$42.86	$42.86	$118.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $40.20 / $99.41	Professional		$31.68	$40.20	$99.41