Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.87 / $40.65 / $142.32	Facility		$28.87	$40.65	$142.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $32.40 / $62.74	Professional		$18.16	$32.40	$62.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.67 / $115.00 / $138.58	Professional		$54.67	$115.00	$138.58
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.40 / $55.27 / $55.27	Facility		$51.40	$55.27	$55.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $55.27	Professional		$55.27	$55.27	$55.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $49.23	Professional		$33.88	$33.88	$49.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $149.24 / $332.00	Facility		$66.33	$149.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $50.30 / $121.38	Professional		$39.13	$50.30	$121.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.30 / $50.30 / $50.30	Facility		$50.30	$50.30	$50.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $42.38 / $55.27	Professional		$39.88	$42.38	$55.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.19 / $54.19 / $54.19	Professional		$54.19	$54.19	$54.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $555.00	Facility		$39.86	$39.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $39.86 / $96.09	Professional		$33.88	$39.86	$96.09
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $36.61 / $60.82	Professional		$22.06	$36.61	$60.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $39.88 / $39.88 / $47.48	Facility		$39.88	$39.88	$47.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.88 / $39.88 / $50.30	Professional		$39.88	$39.88	$50.30