Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.79 / $91.85 / $188.57	Facility		$45.79	$91.85	$188.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.80 / $55.10 / $63.00	Professional		$45.80	$55.10	$63.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $56.50	Professional		$56.50	$56.50	$56.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Facility		$8.05	$8.05	$8.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $8.05 / $8.05	Professional		$8.05	$8.05	$8.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $59.86 / $85.00	Facility		$56.42	$59.86	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $89.61 / $332.00	Facility		$56.42	$89.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.96 / $56.42 / $56.42	Professional		$47.96	$56.42	$56.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.52 / $8.52	Facility		$8.21	$8.52	$8.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.52 / $8.52	Professional		$8.21	$8.52	$8.52
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $40.02 / $40.02 / $40.02	Professional		$40.02	$40.02	$40.02
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $66.42 / $212.90	Facility		$56.42	$66.42	$212.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.42 / $59.86 / $597.00	Facility		$56.42	$59.86	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $88.52	Professional		$56.50	$56.50	$88.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $8.21 / $8.21 / $84.63	Facility		$8.21	$8.21	$84.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $8.21 / $57.63	Professional		$8.21	$8.21	$57.63