Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.89 / $50.85 / $184.16	Facility		$10.89	$50.85	$184.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.77 / $54.11 / $124.30	Professional		$39.77	$54.11	$124.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $69.47 / $136.22	Facility		$68.11	$69.47	$136.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.85 / $59.85 / $165.78	Professional		$59.85	$59.85	$165.78
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $79.20 / $85.17 / $85.17	Facility		$79.20	$85.17	$85.17
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $85.17 / $85.17 / $85.17	Professional		$85.17	$85.17	$85.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $76.52	Facility		$67.14	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $49.01 / $76.52	Professional		$49.01	$49.01	$76.52
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $68.11 / $153.25 / $332.00	Facility		$68.11	$153.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.23 / $59.40 / $122.60	Professional		$42.23	$59.40	$122.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $67.56 / $73.93	Professional		$65.65	$67.56	$73.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Professional		$75.79	$75.79	$75.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $555.00	Facility		$67.14	$67.14	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $53.66 / $101.48	Professional		$49.01	$53.66	$101.48
United Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $58.29 / $97.15	Professional		$38.86	$58.29	$97.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $67.56 / $72.98	Facility		$67.56	$67.56	$72.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $67.56 / $71.79	Professional		$65.65	$67.56	$71.79