Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $87.20 / $175.39	Facility		$41.04	$87.20	$175.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.59 / $61.73 / $82.03	Professional		$42.59	$61.73	$82.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.04 / $63.80 / $89.65	Professional		$51.04	$63.80	$89.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $90.14 / $90.14	Facility		$90.14	$90.14	$90.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $90.14 / $90.14 / $94.43	Professional		$90.14	$90.14	$94.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $83.13	Facility		$83.13	$83.13	$83.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $57.73 / $105.16	Professional		$57.73	$57.73	$105.16
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.15 / $22.15 / $319.00	Facility		$22.15	$22.15	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $89.98 / $132.83	Professional		$67.25	$89.98	$132.83
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $63.52 / $63.52	Facility		$61.21	$63.52	$63.52
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $65.45 / $135.93	Professional		$46.61	$65.45	$135.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $55.87 / $56.43	Facility		$55.87	$55.87	$56.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.13 / $83.13 / $555.00	Facility		$83.13	$83.13	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $65.84 / $161.09	Professional		$57.73	$65.84	$161.09
Optum Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $54.14 / $54.14	Professional		$54.14	$54.14	$54.14
United Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $75.81 / $154.05	Professional		$55.14	$75.81	$154.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $61.21 / $69.20 / $69.20	Facility		$61.21	$69.20	$69.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $59.36 / $69.20 / $142.27	Professional		$59.36	$69.20	$142.27