Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.66 / $6,765.10 / $11,186.92	Facility		$51.66	$6,765.10	$11,186.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.84 / $57.53 / $159.96	Professional		$47.84	$57.53	$159.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.86 / $1,244.00 / $1,555.00	Facility		$40.86	$1,244.00	$1,555.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $57.78 / $58.93	Professional		$55.56	$57.78	$58.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Facility		$64.75	$64.75	$64.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $64.75 / $64.75	Professional		$64.75	$64.75	$64.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $70.14 / $85.00	Facility		$58.93	$70.14	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $101.95	Facility		$58.93	$58.93	$101.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.09 / $58.93 / $58.93	Professional		$50.09	$58.93	$58.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $61.24 / $61.24	Facility		$58.93	$61.24	$61.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $61.24 / $61.24	Professional		$58.93	$61.24	$61.24
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $61.67 / $85.24	Facility		$58.93	$61.67	$85.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $70.14 / $597.00	Facility		$58.93	$70.14	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
United Facility/Professional Professional Modifier Low / Median / High Price $57.78 / $57.78 / $81.33	Professional		$57.78	$57.78	$81.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Facility		$58.93	$58.93	$58.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $61.24	Professional		$58.93	$58.93	$61.24