Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.66 / $33.94 / $62.82	Facility		$28.66	$33.94	$62.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.66 / $37.43 / $49.16	Professional		$28.66	$37.43	$49.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $79.54 / $155.96	Facility		$77.98	$79.54	$155.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.69 / $53.69 / $131.13	Professional		$53.69	$53.69	$131.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $60.42 / $64.97 / $64.97	Facility		$60.42	$64.97	$64.97
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $64.97 / $64.97 / $64.97	Professional		$64.97	$64.97	$64.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $48.73	Facility		$48.73	$48.73	$48.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $35.57 / $48.73	Professional		$35.57	$35.57	$48.73
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $77.98 / $175.46 / $332.00	Facility		$77.98	$175.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $58.49 / $140.36	Professional		$40.27	$58.49	$140.36
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.42 / $42.42 / $42.42	Facility		$42.42	$42.42	$42.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $46.88 / $55.92	Professional		$42.42	$46.88	$55.92
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.26 / $63.26 / $63.26	Professional		$63.26	$63.26	$63.26
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.73 / $48.73 / $555.00	Facility		$48.73	$48.73	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $46.46 / $112.97	Professional		$35.57	$46.46	$112.97
United Facility/Professional Facility Modifier Low / Median / High Price $39.97 / $39.97 / $39.97	Facility		$39.97	$39.97	$39.97
United Facility/Professional Professional Modifier Low / Median / High Price $25.94 / $46.79 / $71.31	Professional		$25.94	$46.79	$71.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $46.88 / $46.88 / $48.72	Facility		$46.88	$46.88	$48.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $42.42 / $46.88 / $49.81	Professional		$42.42	$46.88	$49.81