Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $44.60 / $135.75	Facility		$32.65	$44.60	$135.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $57.60 / $115.20	Professional		$32.65	$57.60	$115.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $97.82 / $191.80	Facility		$95.90	$97.82	$191.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.04 / $58.04 / $154.66	Professional		$58.04	$58.04	$154.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $79.89 / $79.89	Facility		$74.30	$79.89	$79.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $79.89 / $79.89 / $79.89	Professional		$79.89	$79.89	$79.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $43.74 / $71.77	Professional		$43.74	$43.74	$71.77
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $95.90 / $215.78 / $332.00	Facility		$95.90	$215.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.55 / $71.93 / $172.62	Professional		$51.55	$71.93	$172.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.44 / $64.44 / $64.44	Facility		$64.44	$64.44	$64.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $61.26 / $77.33	Professional		$57.66	$61.26	$77.33
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.93 / $101.93 / $101.93	Facility		$101.93	$101.93	$101.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.79 / $77.79 / $77.79	Professional		$77.79	$77.79	$77.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $555.00	Facility		$59.92	$59.92	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $67.98 / $123.48	Professional		$43.74	$67.98	$123.48
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $47.84 / $87.91	Professional		$31.89	$47.84	$87.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $57.66 / $57.66	Facility		$25.54	$57.66	$57.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $64.44	Professional		$57.66	$57.66	$64.44