Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.00 / $114.66 / $363.00	Facility		$23.00	$114.66	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $25.96 / $61.67	Professional		$14.40	$25.96	$61.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $654.00 / $664.00 / $919.00	Facility		$654.00	$664.00	$919.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.50 / $41.73 / $75.00	Professional		$25.50	$41.73	$75.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Facility		$60.05	$60.05	$60.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $60.05 / $60.05	Professional		$60.05	$60.05	$60.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $80.00 / $226.00	Facility		$43.84	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.60 / $70.00 / $114.34	Professional		$33.60	$70.00	$114.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.00 / $63.00 / $332.00	Facility		$27.00	$63.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $45.00 / $85.00	Professional		$43.51	$45.00	$85.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $43.87 / $44.26	Facility		$35.40	$43.87	$44.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $39.60 / $68.00	Professional		$30.17	$39.60	$68.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $30.52 / $30.68	Professional		$30.35	$30.52	$30.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.84 / $555.00 / $597.00	Facility		$43.84	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $62.87 / $113.01	Professional		$35.70	$62.87	$113.01
United Facility/Professional Professional Modifier Low / Median / High Price $27.91 / $37.18 / $74.76	Professional		$27.91	$37.18	$74.76
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $40.44 / $102.79	Facility		$35.40	$40.44	$102.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.17 / $40.44 / $93.78	Professional		$30.17	$40.44	$93.78