Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.68 / $75.00 / $116.03	Facility		$62.68	$75.00	$116.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.68 / $75.00 / $90.81	Professional		$62.68	$75.00	$90.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $146.91 / $288.08	Facility		$144.04	$146.91	$288.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $181.01	Professional		$45.00	$45.00	$181.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $111.61 / $120.01 / $120.01	Facility		$111.61	$120.01	$120.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $120.01 / $120.01 / $120.01	Professional		$120.01	$120.01	$120.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $83.71	Facility		$83.71	$83.71	$83.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $61.11 / $83.71	Professional		$61.11	$61.11	$83.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $302.48 / $332.00	Facility		$144.04	$302.48	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.53 / $106.59 / $259.27	Professional		$81.53	$106.59	$259.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.91 / $101.91 / $101.91	Facility		$101.91	$101.91	$101.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $100.62 / $120.01	Professional		$94.70	$100.62	$120.01
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.84 / $116.84 / $116.84	Professional		$116.84	$116.84	$116.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $83.71 / $83.71 / $555.00	Facility		$83.71	$83.71	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $61.11 / $83.71 / $185.45	Professional		$61.11	$83.71	$185.45
United Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $65.33 / $76.31	Facility		$50.68	$65.33	$76.31
United Facility/Professional Professional Modifier Low / Median / High Price $47.91 / $76.91 / $132.13	Professional		$47.91	$76.91	$132.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $90.19 / $94.70 / $94.70	Facility		$90.19	$94.70	$94.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $94.70 / $94.70 / $101.91	Professional		$94.70	$94.70	$101.91