Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.36 / $59.76 / $90.70	Professional		$35.36	$59.76	$90.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $72.98 / $109.97	Professional		$72.98	$72.98	$109.97
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $67.88 / $90.50	Facility		$9.05	$67.88	$90.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.05 / $67.88 / $90.50	Professional		$9.05	$67.88	$90.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.23 / $111.00	Professional		$54.60	$64.23	$111.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $319.00 / $332.00 / $332.00	Facility		$319.00	$332.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.03 / $65.36 / $87.14	Professional		$54.03	$65.36	$87.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $60.60 / $83.83	Professional		$57.03	$60.60	$83.83
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $71.65	Professional		$71.65	$71.65	$71.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $54.60 / $111.00	Professional		$3.47	$54.60	$111.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $57.37 / $77.93	Professional		$40.64	$57.37	$77.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $57.03 / $57.03 / $57.03	Facility		$57.03	$57.03	$57.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $57.03 / $83.83	Professional		$57.03	$57.03	$83.83