Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $74.41 / $228.84	Facility		$51.31	$74.41	$228.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $92.31	Professional		$51.31	$51.31	$92.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $39.40 / $77.48	Professional		$20.52	$39.40	$77.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $51.31 / $51.31	Facility		$30.79	$51.31	$51.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $108.87 / $126.14	Facility		$92.58	$108.87	$126.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.78 / $68.11 / $176.75	Professional		$32.78	$68.11	$176.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $66.70 / $319.00	Facility		$51.31	$66.70	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.53 / $93.90	Professional		$35.92	$53.53	$93.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $30.79	Facility		$30.79	$30.79	$30.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $48.74 / $66.19	Professional		$30.79	$48.74	$66.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.20 / $72.66 / $136.00	Facility		$45.20	$72.66	$136.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $108.87 / $555.00	Facility		$19.91	$108.87	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.39 / $65.56 / $154.35	Professional		$34.39	$65.56	$154.35
United Facility/Professional Professional Modifier Low / Median / High Price $27.26 / $30.79 / $91.03	Professional		$27.26	$30.79	$91.03
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $59.01 / $59.01	Facility		$59.01	$59.01	$59.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $53.79 / $66.19	Professional		$43.61	$53.79	$66.19