Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.42 / $54.98 / $101.77	Facility		$46.42	$54.98	$101.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.42 / $64.97 / $79.65	Professional		$46.42	$64.97	$79.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $128.87 / $252.68	Facility		$126.34	$128.87	$252.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.98 / $80.98 / $212.23	Professional		$80.98	$80.98	$212.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $97.89 / $105.26 / $105.26	Facility		$97.89	$105.26	$105.26
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $105.26 / $105.26	Professional		$105.26	$105.26	$105.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $65.11 / $89.19	Professional		$65.11	$65.11	$89.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $126.34 / $284.27 / $332.00	Facility		$126.34	$284.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.23 / $94.76 / $227.41	Professional		$65.23	$94.76	$227.41
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Facility		$65.65	$65.65	$65.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $75.95 / $90.59	Professional		$65.65	$75.95	$90.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $102.47 / $102.47	Professional		$102.47	$102.47	$102.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $555.00	Facility		$89.19	$89.19	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $75.25 / $188.25	Professional		$65.11	$75.25	$188.25
United Facility/Professional Professional Modifier Low / Median / High Price $42.02 / $78.16 / $115.56	Professional		$42.02	$78.16	$115.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $75.95 / $75.95 / $78.91	Facility		$75.95	$75.95	$78.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $75.95 / $80.69	Professional		$65.65	$75.95	$80.69