Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.76 / $49.50 / $183.25	Facility		$23.76	$49.50	$183.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $49.50 / $63.36	Professional		$30.00	$49.50	$63.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.60 / $39.60 / $49.50	Facility		$39.60	$39.60	$49.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $44.41 / $44.41	Professional		$22.00	$44.41	$44.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.70 / $23.38 / $99.18	Facility		$22.70	$23.38	$99.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $48.76 / $48.76	Professional		$48.76	$48.76	$48.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.69 / $60.70 / $332.00	Facility		$46.69	$60.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.89 / $46.89 / $63.97	Professional		$46.89	$46.89	$63.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $45.72 / $45.72	Facility		$45.72	$45.72	$45.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $45.72 / $49.50	Professional		$45.72	$45.72	$49.50
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.48 / $20.48 / $57.48	Facility		$20.48	$20.48	$57.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.72 / $48.88 / $56.04	Professional		$41.72	$48.88	$56.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $23.38 / $597.00	Facility		$23.38	$23.38	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $36.85 / $48.76	Professional		$20.00	$36.85	$48.76
United Facility/Professional Professional Modifier Low / Median / High Price $43.54 / $51.38 / $65.90	Professional		$43.54	$51.38	$65.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $45.72 / $45.72 / $45.72	Facility		$45.72	$45.72	$45.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.72 / $45.72 / $49.50	Professional		$45.72	$45.72	$49.50