Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $66.84 / $123.73	Facility		$52.29	$66.84	$123.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.29 / $67.11 / $96.85	Professional		$52.29	$67.11	$96.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.61 / $156.68 / $307.22	Facility		$153.61	$156.68	$307.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.87 / $84.87 / $237.63	Professional		$84.87	$84.87	$237.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $119.02 / $127.98 / $127.98	Facility		$119.02	$127.98	$127.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $127.98 / $127.98	Professional		$127.98	$127.98	$127.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $88.85	Facility		$88.85	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $88.85	Professional		$64.86	$64.86	$88.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $153.61 / $319.00 / $345.62	Facility		$153.61	$319.00	$345.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $113.67 / $276.50	Professional		$79.31	$113.67	$276.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.60 / $60.60 / $60.60	Facility		$60.60	$60.60	$60.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $92.35 / $110.14	Professional		$60.60	$92.35	$110.14
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.58 / $124.58 / $124.58	Professional		$124.58	$124.58	$124.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $88.85 / $555.00	Facility		$88.85	$88.85	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $88.85 / $228.28	Professional		$64.86	$88.85	$228.28
United Facility/Professional Professional Modifier Low / Median / High Price $51.09 / $81.01 / $140.49	Professional		$51.09	$81.01	$140.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $92.35 / $92.35 / $95.96	Facility		$92.35	$92.35	$95.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $60.60 / $92.35 / $98.12	Professional		$60.60	$92.35	$98.12