Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.65 / $43.39 / $93.03	Facility		$38.65	$43.39	$93.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $43.39 / $84.02	Professional		$28.80	$43.39	$84.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $177.70	Facility		$88.85	$88.85	$177.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $149.38	Professional		$57.66	$57.66	$149.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.84 / $74.02 / $74.02	Facility		$68.84	$74.02	$74.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.02 / $74.02 / $74.02	Professional		$74.02	$74.02	$74.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $69.80	Professional		$43.41	$43.41	$69.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $199.91 / $332.00	Facility		$88.85	$199.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $71.08 / $161.88	Professional		$52.42	$71.08	$161.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.36 / $67.36 / $67.36	Facility		$67.36	$67.36	$67.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $55.12 / $74.02	Professional		$51.88	$55.12	$74.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.20 / $208.20 / $208.20	Facility		$208.20	$208.20	$208.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.05 / $72.05 / $72.05	Professional		$72.05	$72.05	$72.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $555.00	Facility		$59.47	$59.47	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $53.42 / $128.91	Professional		$43.41	$53.42	$128.91
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $52.56 / $79.98	Professional		$29.55	$52.56	$79.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.88 / $51.88 / $68.26	Facility		$51.88	$51.88	$68.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $51.88 / $67.36	Professional		$51.88	$51.88	$67.36