Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $52.78 / $105.55	Facility		$34.00	$52.78	$105.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $60.46 / $138.60	Professional		$37.00	$60.46	$138.60
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 $56.30 / $56.30 / $154.54	Professional		$56.30	$56.30	$154.54
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 $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $61.21	Professional		$44.68	$44.68	$61.21
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 $49.52 / $71.93 / $172.62	Professional		$49.52	$71.93	$172.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $56.86 / $56.86	Facility		$56.86	$56.86	$56.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $63.05 / $68.77	Professional		$56.86	$63.05	$68.77
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $77.90 / $127.94 / $127.94	Professional		$77.90	$127.94	$127.94
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 $60.32 / $61.21 / $555.00	Facility		$60.32	$61.21	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $61.21 / $142.88	Professional		$44.68	$61.21	$142.88
United Facility/Professional Facility Modifier Low / Median / High Price $127.86 / $127.86 / $127.86	Facility		$127.86	$127.86	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $54.76 / $87.91	Professional		$31.89	$54.76	$87.91
Univera Facility/Professional Facility Modifier Low / Median / High Price $63.05 / $63.05 / $73.44	Facility		$63.05	$63.05	$73.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $63.05 / $66.98	Professional		$56.86	$63.05	$66.98