Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.34 / $37.50 / $72.20	Facility		$29.34	$37.50	$72.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $41.88 / $54.33	Professional		$29.34	$41.88	$54.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $87.90 / $172.36	Facility		$86.18	$87.90	$172.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.41 / $52.41 / $139.66	Professional		$52.41	$52.41	$139.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $66.77 / $71.80 / $71.80	Facility		$66.77	$71.80	$71.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Professional		$71.80	$71.80	$71.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $53.85	Facility		$53.85	$53.85	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $39.31 / $84.01	Professional		$39.31	$39.31	$84.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $86.18 / $193.91 / $332.00	Facility		$86.18	$193.91	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $63.77 / $155.12	Professional		$46.32	$63.77	$155.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.90 / $57.90 / $57.90	Facility		$57.90	$57.90	$57.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $55.05 / $69.48	Professional		$51.81	$55.05	$69.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $44.03 / $44.03	Facility		$44.03	$44.03	$44.03
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.85 / $53.85 / $555.00	Facility		$53.85	$53.85	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $53.27 / $116.25	Professional		$39.31	$53.27	$116.25
United Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $46.58 / $78.83	Professional		$28.66	$46.58	$78.83
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.81 / $51.81 / $51.81	Facility		$51.81	$51.81	$51.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.81 / $51.81 / $57.90	Professional		$51.81	$51.81	$57.90