Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $34.31 / $242.15	Facility		$4.38	$34.31	$242.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.57 / $39.27 / $49.19	Professional		$25.57	$39.27	$49.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $76.59 / $150.18	Facility		$75.09	$76.59	$150.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.58 / $39.58 / $115.74	Professional		$39.58	$39.58	$115.74
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.18 / $62.56 / $62.56	Facility		$58.18	$62.56	$62.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $62.56 / $62.56	Professional		$62.56	$62.56	$62.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $69.00	Professional		$34.09	$34.09	$69.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $168.95 / $332.00	Facility		$75.09	$168.95	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.77 / $56.32 / $135.16	Professional		$38.77	$56.32	$135.16
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.40 / $40.40 / $40.40	Facility		$40.40	$40.40	$40.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $43.43 / $53.85	Professional		$40.40	$43.43	$53.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.10 / $90.10 / $90.10	Facility		$90.10	$90.10	$90.10
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $60.90 / $60.90	Professional		$60.90	$60.90	$60.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $69.00 / $555.00	Facility		$46.70	$69.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $44.75 / $96.68	Professional		$34.09	$44.75	$96.68
United Facility/Professional Facility Modifier Low / Median / High Price $87.18 / $87.18 / $87.18	Facility		$87.18	$87.18	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $24.98 / $38.06 / $68.68	Professional		$24.98	$38.06	$68.68
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.43 / $43.43 / $46.92	Facility		$43.43	$43.43	$46.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $43.43 / $46.15	Professional		$40.40	$43.43	$46.15