Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.96 / $30.74 / $56.90	Facility		$25.96	$30.74	$56.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.96 / $30.86 / $44.53	Professional		$25.96	$30.86	$44.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $72.05 / $141.28	Facility		$70.64	$72.05	$141.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $117.61	Professional		$44.76	$44.76	$117.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $58.85 / $58.85	Facility		$54.73	$58.85	$58.85
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $58.85 / $58.85 / $58.85	Professional		$58.85	$58.85	$58.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $47.76	Facility		$46.82	$46.82	$47.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $34.18 / $47.76	Professional		$34.18	$34.18	$47.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $70.64 / $158.94 / $332.00	Facility		$70.64	$158.94	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $52.98 / $128.71	Professional		$41.68	$52.98	$128.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $58.85	Professional		$54.30	$54.30	$58.85
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.30 / $57.30 / $57.30	Professional		$57.30	$57.30	$57.30
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $47.76 / $555.00	Facility		$46.82	$47.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $43.66 / $93.24	Professional		$34.18	$43.66	$93.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $42.38 / $63.58	Professional		$23.49	$42.38	$63.58
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.19 / $54.30 / $54.30	Facility		$47.19	$54.30	$54.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $54.30 / $54.30	Professional		$54.30	$54.30	$54.30