Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $29.93 / $48.86	Professional		$21.59	$29.93	$48.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.00 / $41.00 / $61.74	Professional		$41.00	$41.00	$61.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.29 / $32.15 / $42.87	Facility		$4.29	$32.15	$42.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $4.29 / $32.15 / $42.87	Professional		$4.29	$32.15	$42.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $43.75	Professional		$28.33	$33.33	$43.75
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 $27.42 / $32.90 / $50.61	Professional		$27.42	$32.90	$50.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $35.99 / $42.17	Professional		$35.99	$35.99	$42.17
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $39.79 / $39.79	Professional		$39.79	$39.79	$39.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $33.33 / $43.75	Facility		$33.33	$33.33	$43.75
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.33 / $33.33 / $43.75	Professional		$28.33	$33.33	$43.75
United Facility/Professional Professional Modifier Low / Median / High Price $16.96 / $28.65 / $43.05	Professional		$16.96	$28.65	$43.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.99 / $35.99 / $35.99	Facility		$35.99	$35.99	$35.99
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.99 / $35.99 / $38.24	Professional		$35.99	$35.99	$38.24