Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $38.50 / $71.27	Facility		$32.51	$38.50	$71.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.51 / $39.09 / $55.79	Professional		$32.51	$39.09	$55.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $90.25 / $176.96	Facility		$88.48	$90.25	$176.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.54 / $54.54 / $145.34	Professional		$54.54	$54.54	$145.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $73.72 / $73.72	Facility		$68.56	$73.72	$73.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $73.72 / $73.72	Professional		$73.72	$73.72	$73.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $36.97 / $50.66	Professional		$36.97	$36.97	$50.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $199.08 / $332.00	Facility		$88.48	$199.08	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $65.48 / $159.26	Professional		$45.68	$65.48	$159.26
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.11 / $32.11 / $32.11	Facility		$32.11	$32.11	$32.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $53.19 / $63.44	Professional		$32.11	$53.19	$63.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.76 / $71.76 / $71.76	Professional		$71.76	$71.76	$71.76
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $555.00	Facility		$50.66	$50.66	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $131.72	Professional		$36.97	$50.66	$131.72
United Facility/Professional Professional Modifier Low / Median / High Price $29.43 / $53.93 / $80.93	Professional		$29.43	$53.93	$80.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.19 / $53.19 / $55.28	Facility		$53.19	$53.19	$55.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.11 / $53.19 / $56.51	Professional		$32.11	$53.19	$56.51