Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $52.18 / $96.63	Facility		$28.17	$52.18	$96.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $36.81 / $52.18	Professional		$28.17	$36.81	$52.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $84.42 / $165.52	Facility		$82.76	$84.42	$165.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.63 / $45.63 / $126.39	Professional		$45.63	$45.63	$126.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.12 / $68.95 / $68.95	Facility		$64.12	$68.95	$68.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $68.95 / $68.95	Professional		$68.95	$68.95	$68.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $48.98	Professional		$35.76	$35.76	$48.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $82.76 / $186.21 / $332.00	Facility		$82.76	$186.21	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.85 / $59.59 / $148.97	Professional		$46.85	$59.59	$148.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $58.56 / $58.56	Facility		$58.56	$58.56	$58.56
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $52.87 / $68.95	Professional		$49.75	$52.87	$68.95
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $67.12 / $99.31	Professional		$67.12	$67.12	$99.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $555.00	Facility		$48.98	$48.98	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $48.98 / $109.69	Professional		$35.76	$48.98	$109.69
United Facility/Professional Professional Modifier Low / Median / High Price $27.52 / $42.96 / $75.69	Professional		$27.52	$42.96	$75.69
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.75 / $49.75 / $51.70	Facility		$49.75	$49.75	$51.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $49.75 / $49.75 / $58.56	Professional		$49.75	$49.75	$58.56