Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $77.18 / $164.72	Facility		$46.49	$77.18	$164.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $58.09 / $152.79	Professional		$36.47	$58.09	$152.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $39.40 / $109.01	Professional		$31.07	$39.40	$109.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $53.20 / $53.20 / $53.20	Facility		$53.20	$53.20	$53.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $53.20 / $53.20	Professional		$53.20	$53.20	$53.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $286.38	Facility		$41.54	$41.54	$286.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.09 / $83.21 / $168.65	Professional		$37.09	$83.21	$168.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $55.75 / $339.00	Facility		$31.00	$55.75	$339.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $51.79 / $83.15	Professional		$40.50	$51.79	$83.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Facility		$19.98	$19.98	$19.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $46.61 / $67.92	Professional		$19.98	$46.61	$67.92
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $34.57 / $42.43	Professional		$34.57	$34.57	$42.43
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.62 / $50.62 / $50.62	Professional		$50.62	$50.62	$50.62
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $286.38 / $597.00	Facility		$41.54	$286.38	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.22 / $67.08 / $143.25	Professional		$39.22	$67.08	$143.25
United Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $46.91 / $115.90	Professional		$32.47	$46.91	$115.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $50.38 / $50.38 / $217.16	Facility		$50.38	$50.38	$217.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $50.38 / $99.89	Professional		$33.79	$50.38	$99.89