Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $67.72 / $127.33	Facility		$41.38	$67.72	$127.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.38 / $41.38 / $78.05	Professional		$41.38	$41.38	$78.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $16.55 / $31.02	Professional		$5.50	$16.55	$31.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $41.38 / $41.38	Facility		$24.83	$41.38	$41.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $41.38 / $41.38	Professional		$30.21	$41.38	$41.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.53 / $87.80 / $101.23	Facility		$74.53	$87.80	$101.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.31 / $54.72 / $141.85	Professional		$26.31	$54.72	$141.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $41.38 / $62.07 / $332.00	Facility		$41.38	$62.07	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $43.17 / $75.73	Professional		$28.97	$43.17	$75.73
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.83 / $24.83 / $24.83	Facility		$24.83	$24.83	$24.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $39.31 / $53.38	Professional		$24.83	$39.31	$53.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Facility		$42.42	$42.42	$42.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $87.80 / $555.00	Facility		$19.91	$87.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.60 / $53.38 / $124.14	Professional		$27.60	$53.38	$124.14
United Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $33.65 / $80.15	Professional		$24.83	$33.65	$80.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.59 / $47.59 / $55.50	Facility		$47.59	$47.59	$55.50
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.17 / $44.87 / $55.50	Professional		$35.17	$44.87	$55.50