Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.10 / $68.31 / $105.03	Professional		$52.10	$68.31	$105.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $132.85	Professional		$89.13	$89.13	$132.85
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $74.97 / $99.98	Facility		$10.11	$74.97	$99.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $74.97 / $99.98	Professional		$10.11	$74.97	$99.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $95.86	Professional		$62.08	$73.04	$95.86
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 $61.96 / $69.43 / $106.81	Professional		$61.96	$69.43	$106.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $74.47 / $86.75	Professional		$70.08	$74.47	$86.75
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.81 / $87.81 / $87.81	Professional		$87.81	$87.81	$87.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $73.04 / $73.04 / $95.86	Facility		$73.04	$73.04	$95.86
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $73.04 / $95.86	Professional		$62.08	$73.04	$95.86
United Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $46.07 / $77.41	Facility		$4.84	$46.07	$77.41
United Facility/Professional Professional Modifier Low / Median / High Price $36.45 / $65.18 / $91.80	Professional		$36.45	$65.18	$91.80
Univera Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $70.08 / $70.08	Facility		$70.08	$70.08	$70.08
Univera Facility/Professional Professional Modifier Low / Median / High Price $70.08 / $70.08 / $86.75	Professional		$70.08	$70.08	$86.75