Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $46.89 / $112.81	Facility		$36.68	$46.89	$112.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.68 / $50.53 / $67.92	Professional		$36.68	$50.53	$67.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $109.89 / $215.48	Facility		$107.74	$109.89	$215.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.34 / $64.34 / $171.49	Professional		$64.34	$64.34	$171.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $89.77 / $89.77	Facility		$83.49	$89.77	$89.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $89.77 / $89.77 / $89.77	Professional		$89.77	$89.77	$89.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $55.33 / $75.80	Professional		$55.33	$55.33	$75.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $107.74 / $242.42 / $332.00	Facility		$107.74	$242.42	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.63 / $80.81 / $193.93	Professional		$55.63	$80.81	$193.93
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.45 / $45.45 / $45.45	Facility		$45.45	$45.45	$45.45
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $64.79 / $77.27	Professional		$45.45	$64.79	$77.27
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $87.40 / $87.40	Professional		$87.40	$87.40	$87.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $555.00	Facility		$75.80	$75.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $64.19 / $160.53	Professional		$55.33	$64.19	$160.53
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $57.90 / $98.54	Professional		$35.83	$57.90	$98.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $64.79 / $64.79 / $67.31	Facility		$64.79	$64.79	$67.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $64.79 / $68.83	Professional		$45.45	$64.79	$68.83