Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.84 / $93.85 / $159.04	Facility		$49.84	$93.85	$159.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.42 / $67.78 / $211.58	Professional		$38.42	$67.78	$211.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.64 / $75.91 / $208.04	Professional		$26.64	$75.91	$208.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $36.90 / $88.13 / $88.13	Facility		$36.90	$88.13	$88.13
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $88.13 / $88.13	Professional		$44.90	$88.13	$88.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.59 / $81.44 / $139.05	Facility		$67.59	$81.44	$139.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $86.94 / $177.91	Professional		$37.72	$86.94	$177.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $96.00 / $96.00 / $96.00	Facility		$96.00	$96.00	$96.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $62.33 / $127.08	Professional		$37.09	$62.33	$127.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.96 / $72.94 / $129.61	Professional		$49.96	$72.94	$129.61
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $71.23 / $71.23 / $71.23	Professional		$71.23	$71.23	$71.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $120.75 / $124.38	Professional		$56.88	$120.75	$124.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.44 / $81.44 / $139.05	Facility		$81.44	$81.44	$139.05
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.72 / $77.92 / $177.91	Professional		$37.72	$77.92	$177.91
United Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $45.26 / $114.39	Professional		$33.35	$45.26	$114.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $72.00 / $156.21	Professional		$56.88	$72.00	$156.21