Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.96 / $68.54 / $163.36	Facility		$57.96	$68.54	$163.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.96 / $69.72 / $71.40	Professional		$57.96	$69.72	$71.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.02 / $0.03 / $79.80	Professional		$0.02	$0.03	$79.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $88.81 / $88.81 / $88.81	Facility		$88.81	$88.81	$88.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $88.81 / $88.81 / $88.81	Professional		$88.81	$88.81	$88.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $75.75 / $85.00	Facility		$71.40	$75.75	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $84.00	Professional		$71.40	$71.40	$84.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $123.52	Facility		$71.40	$71.40	$123.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $71.40 / $71.40	Professional		$60.69	$71.40	$71.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $38.86 / $42.84	Professional		$35.70	$38.86	$42.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $37.77 / $356.33	Facility		$35.70	$37.77	$356.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $75.75 / $597.00	Facility		$71.40	$75.75	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $107.73	Professional		$71.40	$71.40	$107.73
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $107.72	Professional		$79.80	$79.80	$107.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.70 / $35.70 / $38.86	Facility		$35.70	$35.70	$38.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.70 / $35.70 / $42.84	Professional		$35.70	$35.70	$42.84