Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.06 / $38.42 / $92.43	Facility		$30.06	$38.42	$92.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.06 / $43.84 / $55.66	Professional		$30.06	$43.84	$55.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $90.05 / $176.56	Facility		$88.28	$90.05	$176.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $52.62 / $140.22	Professional		$52.62	$52.62	$140.22
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $73.55 / $73.55	Facility		$68.40	$73.55	$73.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.55 / $73.55 / $73.55	Professional		$73.55	$73.55	$73.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $45.85 / $62.81	Professional		$45.85	$45.85	$62.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.28 / $198.63 / $332.00	Facility		$88.28	$198.63	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.58 / $66.20 / $158.90	Professional		$45.58	$66.20	$158.90
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 / $53.08 / $63.31	Professional		$45.45	$53.08	$63.31
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $71.61 / $71.61	Professional		$71.61	$71.61	$71.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $555.00	Facility		$62.81	$62.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $52.60 / $131.54	Professional		$45.85	$52.60	$131.54
United Facility/Professional Professional Modifier Low / Median / High Price $29.36 / $47.44 / $80.73	Professional		$29.36	$47.44	$80.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $53.08 / $55.16	Facility		$53.08	$53.08	$55.16
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $53.08 / $56.40	Professional		$45.45	$53.08	$56.40