Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.12 / $81.02 / $212.01	Facility		$53.12	$81.02	$212.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $73.79 / $189.06	Professional		$70.98	$73.79	$189.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.22 / $82.95 / $107.69	Professional		$78.22	$82.95	$107.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.73 / $64.73 / $64.73	Facility		$64.73	$64.73	$64.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.73 / $64.73 / $64.73	Professional		$64.73	$64.73	$64.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $69.62 / $93.78	Facility		$69.62	$69.62	$93.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.78 / $93.78 / $93.78	Professional		$93.78	$93.78	$93.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $73.80 / $120.44 / $332.00	Facility		$73.80	$120.44	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.80 / $90.30 / $103.85	Professional		$73.80	$90.30	$103.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.92 / $87.92 / $87.92	Facility		$87.92	$87.92	$87.92
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.79 / $87.92 / $87.92	Professional		$73.79	$87.92	$87.92
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.06 / $81.69 / $82.82	Facility		$81.06	$81.69	$82.82
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $81.69 / $82.29	Professional		$80.43	$81.69	$82.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $69.62 / $83.44 / $555.00	Facility		$69.62	$83.44	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.00 / $89.51 / $101.88	Professional		$64.00	$89.51	$101.88
United Facility/Professional Professional Modifier Low / Median / High Price $84.94 / $98.84 / $126.12	Professional		$84.94	$98.84	$126.12
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.19 / $87.92 / $87.92	Facility		$61.19	$87.92	$87.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $66.91 / $87.92	Professional		$61.19	$66.91	$87.92