Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.56 / $81.58 / $144.00	Facility		$41.56	$81.58	$144.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $43.61 / $91.86	Professional		$34.53	$43.61	$91.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $133.41	Facility		$51.31	$51.31	$133.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.34 / $30.78 / $124.30	Professional		$25.34	$30.78	$124.30
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 $37.46 / $51.31 / $51.31	Professional		$37.46	$51.31	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.73 / $108.39 / $136.93	Facility		$62.73	$108.39	$136.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $80.05 / $173.03	Professional		$34.92	$80.05	$173.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.77 / $74.15 / $332.00	Facility		$45.77	$74.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $53.53 / $95.95	Professional		$35.92	$53.53	$95.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.31 / $69.48	Professional		$43.61	$51.31	$69.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.03 / $125.15 / $254.50	Facility		$50.03	$125.15	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $72.56 / $165.49	Professional		$38.17	$72.56	$165.49
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $90.04	Professional		$21.55	$30.79	$90.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $59.01 / $82.95	Facility		$59.01	$59.01	$82.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $57.63 / $82.95	Professional		$43.61	$57.63	$82.95