Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.10 / $49.21 / $91.10	Facility		$40.10	$49.21	$91.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.10 / $51.50 / $71.31	Professional		$40.10	$51.50	$71.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $115.37 / $226.22	Facility		$113.11	$115.37	$226.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.38 / $66.38 / $180.49	Professional		$66.38	$66.38	$180.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $87.63 / $94.23 / $94.23	Facility		$87.63	$94.23	$94.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $94.23 / $94.23 / $94.23	Professional		$94.23	$94.23	$94.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $70.70	Facility		$70.70	$70.70	$70.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.62 / $51.62 / $70.70	Professional		$51.62	$51.62	$70.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $113.11 / $254.50 / $332.00	Facility		$113.11	$254.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $83.70 / $203.60	Professional		$58.40	$83.70	$203.60
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.04 / $67.04 / $67.04	Facility		$67.04	$67.04	$67.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $71.52 / $81.09	Professional		$67.04	$71.52	$81.09
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $91.73 / $91.73	Professional		$91.73	$91.73	$91.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $70.70 / $555.00	Facility		$70.70	$70.70	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.47 / $51.62 / $167.81	Professional		$51.47	$51.62	$167.81
United Facility/Professional Professional Modifier Low / Median / High Price $37.61 / $58.10 / $103.44	Professional		$37.61	$58.10	$103.44
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.98 / $71.52 / $71.52	Facility		$53.98	$71.52	$71.52
Univera Facility/Professional Professional Modifier Low / Median / High Price $67.04 / $71.52 / $75.98	Professional		$67.04	$71.52	$75.98