Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.63 / $45.55 / $84.31	Facility		$35.63	$45.55	$84.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $45.55 / $65.98	Professional		$35.63	$45.55	$65.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $106.75 / $209.32	Facility		$104.66	$106.75	$209.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.44 / $55.44 / $161.32	Professional		$55.44	$55.44	$161.32
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $81.09 / $87.20 / $87.20	Facility		$81.09	$87.20	$87.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $87.20 / $87.20	Professional		$87.20	$87.20	$87.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $62.72	Facility		$62.72	$62.72	$62.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $45.79 / $62.72	Professional		$45.79	$45.79	$62.72
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $104.66 / $235.49 / $332.00	Facility		$104.66	$235.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.24 / $75.36 / $188.39	Professional		$59.24	$75.36	$188.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.05 / $74.05 / $74.05	Facility		$74.05	$74.05	$74.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $66.84 / $87.20	Professional		$62.92	$66.84	$87.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.89 / $84.89 / $84.89	Professional		$84.89	$84.89	$84.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $62.72 / $555.00	Facility		$62.72	$62.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.79 / $48.07 / $141.09	Professional		$45.79	$48.07	$141.09
United Facility/Professional Facility Modifier Low / Median / High Price $123.01 / $123.01 / $123.01	Facility		$123.01	$123.01	$123.01
United Facility/Professional Professional Modifier Low / Median / High Price $34.81 / $54.16 / $95.96	Professional		$34.81	$54.16	$95.96
Univera Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $62.92 / $65.39	Facility		$62.92	$62.92	$65.39
Univera Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $74.05	Professional		$62.92	$62.92	$74.05