Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.63 / $77.20 / $355.17	Facility		$45.63	$77.20	$355.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.89 / $69.89 / $126.60	Professional		$62.89	$69.89	$126.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $64.08 / $64.08	Professional		$60.58	$64.08	$64.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $55.64 / $55.64 / $55.64	Facility		$55.64	$55.64	$55.64
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $55.64 / $55.64	Professional		$55.64	$55.64	$55.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.19 / $66.12 / $248.72	Facility		$64.19	$66.12	$248.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.36 / $70.36 / $70.36	Professional		$70.36	$70.36	$70.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $67.31 / $67.31 / $137.99	Facility		$67.31	$67.31	$137.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.31 / $67.31 / $67.31	Professional		$67.31	$67.31	$67.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Facility		$65.95	$65.95	$65.95
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $65.95 / $71.05	Professional		$65.95	$65.95	$71.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.27 / $82.27 / $82.27	Facility		$82.27	$82.27	$82.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.97 / $79.97 / $82.27	Professional		$79.97	$79.97	$82.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $66.12 / $597.00	Facility		$66.12	$66.12	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $48.00 / $70.36	Professional		$48.00	$48.00	$70.36
United Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $71.98 / $96.42	Professional		$63.70	$71.98	$96.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $65.95	Facility		$65.95	$65.95	$65.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $65.95 / $71.05	Professional		$50.40	$65.95	$71.05