Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.87 / $26.68 / $49.39	Facility		$20.87	$26.68	$49.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $28.41 / $38.65	Professional		$20.87	$28.41	$38.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $62.55 / $122.64	Facility		$61.32	$62.55	$122.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $33.04 / $94.50	Professional		$33.04	$33.04	$94.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.50 / $51.08 / $51.08	Facility		$47.50	$51.08	$51.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.08 / $51.08 / $51.08	Professional		$51.08	$51.08	$51.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Facility		$35.07	$35.07	$35.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $25.60 / $35.07	Professional		$25.60	$25.60	$35.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.32 / $137.97 / $332.00	Facility		$61.32	$137.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.18 / $45.38 / $110.38	Professional		$36.18	$45.38	$110.38
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.48 / $46.48 / $46.48	Facility		$46.48	$46.48	$46.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $38.04 / $51.08	Professional		$35.79	$38.04	$51.08
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $49.73 / $49.73	Professional		$49.73	$49.73	$49.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $555.00	Facility		$35.07	$35.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.60 / $90.94	Professional		$10.00	$25.60	$90.94
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $32.10 / $56.08	Professional		$20.39	$32.10	$56.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.78 / $35.79 / $35.79	Facility		$32.78	$35.79	$35.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.79 / $35.79 / $46.48	Professional		$35.79	$35.79	$46.48