Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.37 / $56.72 / $104.98	Facility		$44.37	$56.72	$104.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $56.72 / $82.17	Professional		$44.37	$56.72	$82.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $132.94 / $260.66	Facility		$130.33	$132.94	$260.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.12 / $64.12 / $195.56	Professional		$64.12	$64.12	$195.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.98 / $108.58 / $108.58	Facility		$100.98	$108.58	$108.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.58 / $108.58 / $108.58	Professional		$108.58	$108.58	$108.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $68.45	Facility		$68.45	$68.45	$68.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $68.45	Professional		$49.98	$49.98	$68.45
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $130.33 / $293.24 / $332.00	Facility		$130.33	$293.24	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $76.89 / $98.82 / $234.59	Professional		$76.89	$98.82	$234.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.82 / $98.82 / $98.82	Facility		$98.82	$98.82	$98.82
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $83.25 / $108.58	Professional		$78.34	$83.25	$108.58
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.72 / $105.72 / $105.72	Professional		$105.72	$105.72	$105.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.45 / $68.45 / $555.00	Facility		$68.45	$68.45	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $60.47 / $155.06	Professional		$49.98	$60.47	$155.06
United Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Facility		$141.12	$141.12	$141.12
United Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $65.02 / $117.30	Professional		$43.34	$65.02	$117.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $78.34 / $81.44	Facility		$78.34	$78.34	$81.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $98.82	Professional		$78.34	$78.34	$98.82