Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $57.53 / $84.10	Professional		$34.79	$57.53	$84.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.98 / $69.98 / $112.11	Professional		$69.98	$69.98	$112.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.46 / $63.43 / $84.56	Facility		$8.46	$63.43	$84.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $63.43 / $84.56	Professional		$8.46	$63.43	$84.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $75.52	Professional		$48.91	$57.54	$75.52
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 $50.20 / $56.58 / $80.97	Professional		$50.20	$56.58	$80.97
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $78.88 / $82.01	Professional		$72.78	$78.88	$82.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $66.56	Professional		$66.56	$66.56	$66.56
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.71 / $57.54 / $75.52	Professional		$48.71	$57.54	$75.52
United Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $50.54 / $86.84	Professional		$36.54	$50.54	$86.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $74.23 / $74.23 / $74.23	Facility		$74.23	$74.23	$74.23
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $82.01	Professional		$74.23	$74.23	$82.01