Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $50.46 / $93.41	Facility		$39.47	$50.46	$93.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $51.59 / $75.68	Professional		$37.59	$51.59	$75.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $118.28 / $231.92	Facility		$115.96	$118.28	$231.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.83 / $71.83 / $191.42	Professional		$71.83	$71.83	$191.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.85 / $96.61 / $96.61	Facility		$89.85	$96.61	$96.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $96.61 / $96.61 / $96.61	Professional		$96.61	$96.61	$96.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $70.80 / $74.27	Facility		$70.80	$70.80	$74.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $51.68 / $70.80	Professional		$51.68	$51.68	$70.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.96 / $260.91 / $332.00	Facility		$115.96	$260.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.88 / $86.97 / $208.73	Professional		$59.88	$86.97	$208.73
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 / $67.06 / $83.15	Professional		$40.40	$67.06	$83.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.06 / $94.06 / $94.06	Professional		$94.06	$94.06	$94.06
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.80 / $74.27 / $555.00	Facility		$70.80	$74.27	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.68 / $69.09 / $179.74	Professional		$51.68	$69.09	$179.74
United Facility/Professional Professional Modifier Low / Median / High Price $38.57 / $62.11 / $106.06	Professional		$38.57	$62.11	$106.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $67.06 / $67.06 / $72.45	Facility		$67.06	$67.06	$72.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $67.06 / $71.26	Professional		$40.40	$67.06	$71.26