Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $39.18 / $92.70	Facility		$30.60	$39.18	$92.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.18 / $55.93 / $79.70	Professional		$39.18	$55.93	$79.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $117.38 / $230.16	Facility		$115.08	$117.38	$230.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.01 / $64.01 / $178.36	Professional		$64.01	$64.01	$178.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $89.16 / $95.87 / $95.87	Facility		$89.16	$95.87	$95.87
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $95.87 / $95.87 / $95.87	Professional		$95.87	$95.87	$95.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $48.04 / $71.19	Professional		$48.04	$48.04	$71.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $115.08 / $258.93 / $332.00	Facility		$115.08	$258.93	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.42 / $85.16 / $207.14	Professional		$59.42	$85.16	$207.14
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $69.89 / $69.89	Facility		$69.89	$69.89	$69.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $69.89 / $83.87	Professional		$66.56	$69.89	$83.87
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.34 / $93.34 / $93.34	Professional		$93.34	$93.34	$93.34
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $555.00	Facility		$65.81	$65.81	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $151.52	Professional		$48.04	$65.81	$151.52
United Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $140.44 / $140.44	Facility		$140.44	$140.44	$140.44
United Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $59.66 / $105.25	Professional		$38.27	$59.66	$105.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $66.56 / $66.56 / $76.89	Facility		$66.56	$66.56	$76.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $66.56 / $70.70	Professional		$66.56	$66.56	$70.70