Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.66 / $21.84 / $41.42	Professional		$17.66	$21.84	$41.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $28.48 / $28.48	Facility		$28.48	$28.48	$28.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.48 / $28.48 / $28.48	Professional		$28.48	$28.48	$28.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.76 / $90.64 / $108.60	Professional		$85.76	$90.64	$108.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $39.22 / $72.70	Professional		$30.17	$39.22	$72.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $21.33 / $21.33	Facility		$21.33	$21.33	$21.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $21.33 / $40.94	Professional		$17.21	$21.33	$40.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $112.48 / $112.48	Facility		$112.48	$112.48	$112.48
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $57.50 / $57.50	Professional		$57.50	$57.50	$57.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $555.00 / $597.00	Facility		$555.00	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $62.48	Professional		$30.00	$30.00	$62.48
United Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $22.05 / $45.87	Professional		$16.79	$22.05	$45.87
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.33 / $21.33 / $21.33	Facility		$21.33	$21.33	$21.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.17 / $23.84 / $40.94	Professional		$18.17	$23.84	$40.94