Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.09 / $71.62 / $4,975.80	Facility		$55.09	$71.62	$4,975.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.20 / $70.11	Professional		$55.65	$56.20	$70.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.52 / $44.52 / $55.65	Facility		$44.52	$44.52	$55.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.51 / $55.65 / $56.76	Professional		$42.51	$55.65	$56.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $41.11 / $41.11 / $43.17	Facility		$41.11	$41.11	$43.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $41.11 / $41.11	Professional		$41.11	$41.11	$41.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $52.50 / $85.00	Facility		$41.50	$52.50	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $60.37	Professional		$55.65	$55.65	$60.37
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $86.63 / $332.00	Facility		$57.75	$86.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.75 / $57.75 / $69.62	Professional		$57.75	$57.75	$69.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.65 / $55.65 / $56.70	Facility		$55.65	$55.65	$56.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.70 / $56.70	Professional		$55.65	$56.70	$56.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.67 / $63.67 / $63.67	Facility		$63.67	$63.67	$63.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $52.50 / $85.00	Facility		$41.50	$52.50	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $55.65 / $62.97	Professional		$55.65	$55.65	$62.97
United Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $58.99 / $78.47	Professional		$55.65	$58.99	$78.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $56.70 / $56.70 / $56.70	Facility		$56.70	$56.70	$56.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.65 / $56.70 / $56.70	Professional		$55.65	$56.70	$56.70