Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.59 / $41.66 / $77.11	Facility		$32.59	$41.66	$77.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $41.82 / $60.35	Professional		$32.59	$41.82	$60.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $97.63 / $191.44	Facility		$95.72	$97.63	$191.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.65 / $52.65 / $147.54	Professional		$52.65	$52.65	$147.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.17 / $79.75 / $79.75	Facility		$74.17	$79.75	$79.75
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.75 / $79.75 / $79.75	Professional		$79.75	$79.75	$79.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $70.48	Facility		$70.48	$70.48	$70.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $51.45 / $70.48	Professional		$51.45	$51.45	$70.48
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.72 / $215.37 / $332.00	Facility		$95.72	$215.37	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.43 / $70.83 / $172.30	Professional		$49.43	$70.83	$172.30
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $58.07 / $58.07	Facility		$58.07	$58.07	$58.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $58.07 / $69.68	Professional		$57.55	$58.07	$69.68
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.56 / $209.56 / $209.56	Facility		$209.56	$209.56	$209.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.65 / $77.65 / $77.65	Professional		$77.65	$77.65	$77.65
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.48 / $70.48 / $555.00	Facility		$70.48	$70.48	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.45 / $70.48 / $142.03	Professional		$51.45	$70.48	$142.03
United Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $49.63 / $87.55	Professional		$31.84	$49.63	$87.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.17 / $57.55 / $57.55	Facility		$51.17	$57.55	$57.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.55 / $57.55 / $61.14	Professional		$57.55	$57.55	$61.14