Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $36.83 / $61.58	Professional		$28.58	$36.83	$61.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $52.50 / $52.50 / $53.55	Professional	50	$52.50	$52.50	$53.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.19 / $33.07 / $79.42	Professional		$26.19	$33.07	$79.42
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $38.49 / $49.60 / $119.13	Professional	50	$38.49	$49.60	$119.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.05 / $46.05 / $46.05	Facility		$46.05	$46.05	$46.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $46.05 / $52.26	Professional		$46.05	$46.05	$52.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $43.33 / $103.66	Professional		$23.77	$43.33	$103.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.80 / $22.80 / $22.80	Facility		$22.80	$22.80	$22.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.15 / $45.65 / $73.81	Professional		$34.15	$45.65	$73.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $34.02 / $64.54	Professional		$27.75	$34.02	$64.54
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $44.57 / $45.06	Professional		$38.04	$44.57	$45.06
Highmark BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.59 / $67.59 / $67.59	Professional	50	$67.59	$67.59	$67.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.45 / $51.45 / $51.45	Facility		$51.45	$51.45	$51.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $44.77 / $100.91	Professional		$25.19	$44.77	$100.91
United Facility/Professional Professional Modifier Low / Median / High Price $24.22 / $33.54 / $66.03	Professional		$24.22	$33.54	$66.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.76 / $36.60 / $77.19	Professional		$29.76	$36.60	$77.19