Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $48.34 / $79.23	Facility		$39.54	$48.34	$79.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $47.94	Professional		$39.54	$39.54	$47.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.49 / $39.54 / $124.07	Professional		$39.49	$39.54	$124.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.37 / $47.37 / $49.74	Facility		$47.37	$47.37	$49.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.37 / $47.37 / $47.37	Professional		$47.37	$47.37	$47.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $48.41	Facility		$37.29	$37.29	$48.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $39.54	Professional		$39.54	$39.54	$39.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $55.95 / $332.00	Facility		$37.29	$55.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.90 / $42.90 / $90.72	Professional		$42.90	$42.90	$90.72
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.54 / $39.54 / $41.04	Facility		$39.54	$39.54	$41.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $41.04	Professional		$39.54	$39.54	$41.04
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.84 / $0.84 / $0.84	Facility		$0.84	$0.84	$0.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.29 / $37.29 / $555.00	Facility		$37.29	$37.29	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $39.54 / $78.95	Professional		$36.00	$39.54	$78.95
United Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $39.54 / $82.00	Professional		$39.54	$39.54	$82.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.04 / $41.04 / $41.04	Facility		$41.04	$41.04	$41.04
Univera Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $41.04 / $87.39	Professional		$39.54	$41.04	$87.39