Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.22 / $60.36 / $111.73	Facility		$47.22	$60.36	$111.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.22 / $60.60 / $87.44	Professional		$47.22	$60.60	$87.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $141.47 / $277.39	Facility		$138.69	$141.47	$277.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $219.93	Professional		$81.20	$81.20	$219.93
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $107.46 / $115.55 / $115.55	Facility		$107.46	$115.55	$115.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $115.55 / $115.55 / $115.55	Professional		$115.55	$115.55	$115.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $86.66	Facility		$86.66	$86.66	$86.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $86.66	Professional		$63.26	$63.26	$86.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $294.00 / $332.00	Facility		$138.69	$294.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.62 / $102.64 / $249.66	Professional		$71.62	$102.64	$249.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.26 / $26.26 / $26.26	Facility		$26.26	$26.26	$26.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $83.39 / $99.46	Professional		$26.26	$83.39	$99.46
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $112.50 / $112.50	Professional		$112.50	$112.50	$112.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $86.66 / $86.66 / $555.00	Facility		$86.66	$86.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $82.63 / $206.66	Professional		$63.26	$82.63	$206.66
United Facility/Professional Professional Modifier Low / Median / High Price $46.13 / $74.63 / $126.85	Professional		$46.13	$74.63	$126.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $83.39 / $83.39 / $86.65	Facility		$83.39	$83.39	$86.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $83.39 / $88.60	Professional		$26.26	$83.39	$88.60