Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.51 / $120.02 / $363.00	Facility		$54.51	$120.02	$363.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $53.55 / $96.72	Professional		$42.79	$53.55	$96.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.24 / $47.03 / $107.25	Professional		$37.24	$47.03	$107.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $76.31 / $76.31 / $76.31	Facility		$76.31	$76.31	$76.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $76.31 / $76.31	Professional		$76.31	$76.31	$76.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $80.00 / $226.00	Facility		$58.53	$80.00	$226.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.17 / $64.44 / $117.79	Professional		$36.17	$64.44	$117.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $76.50 / $332.00	Facility		$47.80	$76.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $77.02 / $140.50	Professional		$59.90	$77.02	$140.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $59.85 / $60.38	Facility		$48.30	$59.85	$60.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.41 / $48.30 / $91.28	Professional		$42.41	$48.30	$91.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $48.69 / $48.69	Facility		$48.69	$48.69	$48.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $49.23 / $49.23	Professional		$48.96	$49.23	$49.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.53 / $555.00 / $597.00	Facility		$58.53	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.04 / $66.00 / $118.46	Professional		$42.04	$66.00	$118.46
United Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $52.20 / $104.41	Professional		$38.84	$52.20	$104.41
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.30 / $57.36 / $69.26	Facility		$48.30	$57.36	$69.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $57.36 / $111.00	Professional		$42.79	$57.36	$111.00