Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.58 / $48.25 / $93.88	Facility		$28.58	$48.25	$93.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $44.23 / $130.47	Professional		$28.58	$44.23	$130.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $49.38 / $164.84	Professional		$19.30	$49.38	$164.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.52 / $51.39 / $51.39	Facility		$21.52	$51.39	$51.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $51.39 / $51.39	Professional		$26.19	$51.39	$51.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.43 / $47.50 / $112.03	Facility		$39.43	$47.50	$112.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.70 / $55.07 / $135.93	Professional		$22.70	$55.07	$135.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $77.00 / $77.00	Facility		$77.00	$77.00	$77.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.80 / $36.64 / $102.40	Professional		$21.80	$36.64	$102.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $50.83 / $75.43	Professional		$29.08	$50.83	$75.43
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $41.84 / $41.84	Professional		$41.84	$41.84	$41.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $71.51 / $76.86	Professional		$33.54	$71.51	$76.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $47.50 / $112.03	Facility		$47.50	$47.50	$112.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.56 / $50.27 / $132.32	Professional		$23.56	$50.27	$132.32
United Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $31.04 / $72.64	Professional		$18.14	$31.04	$72.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.54 / $50.83 / $90.91	Professional		$33.54	$50.83	$90.91