Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.47 / $93.45 / $166.03	Facility		$54.47	$93.45	$166.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $64.61	Professional		$57.51	$57.51	$64.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.54 / $57.51 / $58.66	Professional		$36.54	$57.51	$58.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.76 / $42.76 / $44.90	Facility		$42.76	$42.76	$44.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $42.76 / $42.76 / $42.76	Professional		$42.76	$42.76	$42.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $54.25 / $85.00	Facility		$43.08	$54.25	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $57.51	Professional		$57.51	$57.51	$57.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $62.39 / $89.51 / $332.00	Facility		$62.39	$89.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.68 / $62.39 / $71.89	Professional		$59.68	$62.39	$71.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.51 / $57.51 / $59.68	Facility		$57.51	$57.51	$59.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $59.68 / $59.68	Professional		$57.51	$59.68	$59.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.02 / $80.02 / $80.02	Facility		$80.02	$80.02	$80.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.08 / $54.25 / $85.00	Facility		$43.08	$54.25	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $57.51 / $57.51	Professional		$2.00	$57.51	$57.51
United Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $57.51 / $77.48	Professional		$57.51	$57.51	$77.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $59.68 / $59.68	Facility		$59.68	$59.68	$59.68
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.51 / $59.68 / $59.68	Professional		$57.51	$59.68	$59.68