Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.55 / $45.30 / $72.30	Facility		$30.55	$45.30	$72.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.55 / $43.62 / $110.67	Professional		$30.55	$43.62	$110.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $91.55 / $179.50	Facility		$89.75	$91.55	$179.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.10 / $49.10 / $139.10	Professional		$49.10	$49.10	$139.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $69.55 / $74.78 / $74.78	Facility		$69.55	$74.78	$74.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $74.78 / $74.78 / $74.78	Professional		$74.78	$74.78	$74.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $61.54	Facility		$61.54	$61.54	$61.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $103.80	Professional		$44.92	$44.92	$103.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $89.75 / $201.94 / $332.00	Facility		$89.75	$201.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.95 / $66.42 / $161.55	Professional		$52.95	$66.42	$161.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.05 / $68.05 / $68.05	Facility		$68.05	$68.05	$68.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $125.00 / $125.00	Professional		$68.05	$125.00	$125.00
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $72.80 / $72.80	Professional		$72.80	$72.80	$72.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.54 / $61.54 / $555.00	Facility		$61.54	$61.54	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $61.54 / $250.00	Professional		$44.92	$61.54	$250.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.85 / $46.13 / $82.14	Professional		$29.85	$46.13	$82.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $68.97 / $125.00 / $125.00	Facility		$68.97	$125.00	$125.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $68.05 / $125.00 / $125.00	Professional		$68.05	$125.00	$125.00