Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $75.86 / $229.09	Facility		$19.50	$75.86	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $52.48 / $89.13	Professional		$16.98	$52.48	$89.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $83.18	Professional		$52.48	$61.66	$83.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.30 / $26.30	Facility		$26.30	$26.30	$26.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $91.20	Professional		$26.30	$26.30	$91.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $74.13 / $181.97	Professional		$21.38	$74.13	$181.97
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $21.38 / $85.11	Facility		$19.95	$21.38	$85.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $123.03 / $177.83	Professional		$93.33	$123.03	$177.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $70.79	Facility		$3.89	$3.89	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $83.18 / $151.36	Professional		$51.29	$83.18	$151.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Facility		$72.44	$72.44	$72.44
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $165.96	Professional		$79.43	$93.33	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $144.54 / $177.83	Facility		$125.89	$144.54	$177.83
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $54.95 / $109.65	Professional		$16.60	$54.95	$109.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $10.00 / $43.65	Facility		$3.89	$10.00	$43.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $81.28 / $125.89	Professional		$51.29	$81.28	$125.89