Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.20 / $39.89 / $95.95	Facility		$31.20	$39.89	$95.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.20 / $40.04 / $57.78	Professional		$31.20	$40.04	$57.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $93.48 / $183.30	Facility		$91.65	$93.48	$183.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $50.86 / $142.04	Professional		$50.86	$50.86	$142.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $71.01 / $76.36 / $76.36	Facility		$71.01	$76.36	$76.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $76.36 / $76.36 / $76.36	Professional		$76.36	$76.36	$76.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $58.60	Facility		$58.60	$58.60	$58.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $42.78 / $75.29	Professional		$42.78	$42.78	$75.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $91.65 / $206.21 / $332.00	Facility		$91.65	$206.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.49 / $67.81 / $164.97	Professional		$49.49	$67.81	$164.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.86 / $61.86 / $61.86	Facility		$61.86	$61.86	$61.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $58.55 / $74.23	Professional		$55.10	$58.55	$74.23
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.34 / $74.34 / $74.34	Professional		$74.34	$74.34	$74.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $58.60 / $58.60 / $555.00	Facility		$58.60	$58.60	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $42.78 / $56.65 / $135.94	Professional		$42.78	$56.65	$135.94
United Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $47.11 / $83.83	Professional		$30.48	$47.11	$83.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.06 / $55.10 / $55.10	Facility		$52.06	$55.10	$55.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $55.10 / $55.10 / $61.86	Professional		$55.10	$55.10	$61.86