Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.62 / $62.16 / $149.55	Facility		$48.62	$62.16	$149.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.62 / $62.40 / $90.05	Professional		$48.62	$62.40	$90.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $142.83 / $145.69 / $285.66	Facility		$142.83	$145.69	$285.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.13 / $79.13 / $221.34	Professional		$79.13	$79.13	$221.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $110.67 / $119.00 / $119.00	Facility		$110.67	$119.00	$119.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $119.00 / $119.00	Professional		$119.00	$119.00	$119.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $59.64 / $81.70	Professional		$59.64	$59.64	$81.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $142.83 / $299.94 / $332.00	Facility		$142.83	$299.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $105.69 / $257.08	Professional		$73.75	$105.69	$257.08
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 / $85.87 / $102.42	Professional		$45.45	$85.87	$102.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.86 / $115.86 / $115.86	Professional		$115.86	$115.86	$115.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $555.00	Facility		$81.70	$81.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $211.88	Professional		$59.64	$81.70	$211.88
United Facility/Professional Professional Modifier Low / Median / High Price $47.50 / $75.14 / $130.63	Professional		$47.50	$75.14	$130.63
Univera Facility/Professional Facility Modifier Low / Median / High Price $85.87 / $85.87 / $109.74	Facility		$85.87	$85.87	$109.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $45.45 / $85.87 / $91.23	Professional		$45.45	$85.87	$91.23