Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.49 / $98.16 / $313.20	Facility		$56.49	$98.16	$313.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $85.00 / $123.68	Professional		$40.00	$85.00	$123.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.53 / $78.53 / $98.16	Facility		$78.53	$78.53	$98.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.95 / $87.95 / $87.95	Professional		$62.95	$87.95	$87.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Facility		$65.26	$65.26	$65.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $65.26 / $65.26 / $65.26	Professional		$65.26	$65.26	$65.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.85 / $63.71 / $96.58	Facility		$61.85	$63.71	$96.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.58 / $96.58 / $96.58	Professional		$96.58	$96.58	$96.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $93.00 / $139.50 / $332.00	Facility		$93.00	$139.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $93.00 / $126.86	Professional		$93.00	$93.00	$126.86
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.54 / $90.54 / $98.16	Professional		$90.54	$90.54	$98.16
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.56 / $78.00 / $110.02	Facility		$35.56	$78.00	$110.02
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.50 / $94.53 / $111.12	Professional		$83.50	$94.53	$111.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $63.71 / $63.71 / $597.00	Facility		$63.71	$63.71	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $96.58 / $106.43	Professional		$30.00	$96.58	$106.43
United Facility/Professional Professional Modifier Low / Median / High Price $86.23 / $101.75 / $130.52	Professional		$86.23	$101.75	$130.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.54 / $90.54 / $90.54	Facility		$90.54	$90.54	$90.54
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.04 / $90.54 / $98.16	Professional		$27.04	$90.54	$98.16