Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.28 / $54.31 / $283.61	Facility		$34.28	$54.31	$283.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.28 / $56.86 / $164.59	Professional		$34.28	$56.86	$164.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $102.71 / $201.40	Facility		$100.70	$102.71	$201.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.34 / $61.34 / $163.47	Professional		$61.34	$61.34	$163.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.03 / $83.90 / $83.90	Facility		$78.03	$83.90	$83.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $83.90 / $83.90 / $83.90	Professional		$83.90	$83.90	$83.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $49.80 / $73.06	Professional		$49.80	$49.80	$73.06
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $100.70 / $226.58 / $332.00	Facility		$100.70	$226.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.41 / $84.59 / $183.48	Professional		$59.41	$84.59	$183.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $61.88 / $83.90	Professional		$58.24	$61.88	$83.90
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $81.69 / $81.69	Professional		$81.69	$81.69	$81.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $73.06 / $555.00	Facility		$68.22	$73.06	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $49.80 / $52.20 / $136.35	Professional		$49.80	$52.20	$136.35
United Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $54.19 / $92.11	Professional		$33.50	$54.19	$92.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.24 / $58.24 / $62.92	Facility		$58.24	$58.24	$62.92
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.24 / $58.24 / $61.88	Professional		$58.24	$58.24	$61.88