Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $44.06 / $81.56	Facility		$37.20	$44.06	$81.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $47.88 / $63.84	Professional		$37.20	$47.88	$63.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $103.28 / $202.50	Facility		$101.25	$103.28	$202.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $164.08	Professional		$61.57	$61.57	$164.08
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $78.45 / $84.35 / $84.35	Facility		$78.45	$84.35	$84.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $84.35 / $84.35 / $84.35	Professional		$84.35	$84.35	$84.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $48.34 / $66.22	Professional		$48.34	$48.34	$66.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $227.81 / $332.00	Facility		$101.25	$227.81	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.28 / $74.93 / $182.25	Professional		$52.28	$74.93	$182.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.77 / $59.77 / $59.77	Facility		$59.77	$59.77	$59.77
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $59.77 / $72.59	Professional		$58.55	$59.77	$72.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $82.12 / $82.12	Professional		$82.12	$82.12	$82.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $555.00	Facility		$66.22	$66.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $60.31 / $146.72	Professional		$48.34	$60.31	$146.72
United Facility/Professional Professional Modifier Low / Median / High Price $33.68 / $60.75 / $92.61	Professional		$33.68	$60.75	$92.61
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.55 / $58.55 / $63.25	Facility		$58.55	$58.55	$63.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $58.55 / $58.55 / $62.21	Professional		$58.55	$58.55	$62.21