Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.39 / $83.15 / $137.47	Facility		$66.39	$83.15	$137.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.90 / $74.47 / $100.96	Professional		$58.90	$74.47	$100.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.00 / $298.00	Facility		$50.00	$85.00	$298.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.05 / $78.98 / $122.20	Professional		$61.05	$78.98	$122.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $104.63 / $104.63 / $104.63	Facility		$104.63	$104.63	$104.63
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $104.63 / $104.63 / $115.61	Professional		$104.63	$104.63	$115.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $109.78	Facility		$109.78	$109.78	$109.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.00 / $84.00 / $171.58	Professional		$59.00	$84.00	$171.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $65.72 / $65.72 / $319.00	Facility		$65.72	$65.72	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.39 / $107.88 / $177.00	Professional		$77.39	$107.88	$177.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $66.37 / $66.37	Facility		$18.55	$66.37	$66.37
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $73.08 / $141.12	Professional		$52.10	$73.08	$141.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.44 / $100.44 / $100.44	Facility		$100.44	$100.44	$100.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.32 / $85.32 / $85.32	Professional		$85.32	$85.32	$85.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $109.78 / $109.78 / $555.00	Facility		$109.78	$109.78	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $84.00 / $176.47	Professional		$60.00	$84.00	$176.47
Optum Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $84.38 / $110.25	Professional		$68.26	$84.38	$110.25
United Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $90.10 / $190.23	Professional		$69.00	$90.10	$190.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $71.61 / $81.06 / $81.06	Facility		$71.61	$81.06	$81.06
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $95.19 / $172.32	Professional		$52.10	$95.19	$172.32