Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.77 / $68.41 / $126.63	Facility		$57.77	$68.41	$126.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.77 / $68.41 / $99.11	Professional		$57.77	$68.41	$99.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $160.34 / $314.39	Facility		$157.19	$160.34	$314.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.13 / $76.13 / $232.19	Professional		$76.13	$76.13	$232.19
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $121.80 / $130.97 / $130.97	Facility		$121.80	$130.97	$130.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $130.97 / $130.97 / $130.97	Professional		$130.97	$130.97	$130.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $99.25	Facility		$99.25	$99.25	$99.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $72.45 / $99.25	Professional		$72.45	$72.45	$99.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $157.19 / $319.00 / $353.70	Facility		$157.19	$319.00	$353.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $113.18 / $282.95	Professional		$81.17	$113.18	$282.95
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $80.80 / $80.80 / $80.80	Facility		$80.80	$80.80	$80.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $94.50 / $112.73	Professional		$80.80	$94.50	$112.73
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.51 / $127.51 / $127.51	Professional		$127.51	$127.51	$127.51
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $99.25 / $99.25 / $555.00	Facility		$99.25	$99.25	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $93.65 / $243.66	Professional		$72.45	$93.65	$243.66
United Facility/Professional Facility Modifier Low / Median / High Price $0.10 / $82.54 / $82.54	Facility		$0.10	$82.54	$82.54
United Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $87.25 / $138.72	Professional		$52.28	$87.25	$138.72
Univera Facility/Professional Facility Modifier Low / Median / High Price $94.50 / $94.50 / $98.20	Facility		$94.50	$94.50	$98.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $80.80 / $94.50 / $100.41	Professional		$80.80	$94.50	$100.41