Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.78 / $115.83 / $193.05	Facility		$51.78	$115.83	$193.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $70.20 / $173.95	Professional		$37.21	$70.20	$173.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $70.20 / $182.52	Facility		$70.20	$70.20	$182.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.65 / $42.12 / $173.32	Professional		$34.65	$42.12	$173.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.12 / $70.20 / $70.20	Facility		$42.12	$70.20	$70.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.63 / $70.20 / $70.20	Professional		$42.63	$70.20	$70.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.78 / $148.30 / $187.21	Facility		$85.78	$148.30	$187.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.27 / $107.59 / $226.45	Professional		$52.27	$107.59	$226.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.61 / $101.43 / $332.00	Facility		$62.61	$101.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $73.23 / $131.27	Professional		$49.14	$73.23	$131.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Facility		$21.64	$21.64	$21.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $66.69 / $95.05	Professional		$21.64	$66.69	$95.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $58.21 / $222.00	Facility		$46.31	$58.21	$222.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $171.13 / $254.50	Facility		$68.45	$171.13	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.33 / $99.47 / $213.88	Professional		$56.33	$99.47	$213.88
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $108.81	Professional		$29.48	$42.12	$108.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $80.73 / $80.73 / $113.49	Facility		$80.73	$80.73	$113.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $70.20 / $113.49	Professional		$27.64	$70.20	$113.49