Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $34.81 / $64.44	Facility		$29.40	$34.81	$64.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.40 / $39.59 / $50.44	Professional		$29.40	$39.59	$50.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $81.59 / $159.97	Facility		$79.98	$81.59	$159.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.34 / $52.34 / $134.52	Professional		$52.34	$52.34	$134.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $66.65 / $66.65	Facility		$61.98	$66.65	$66.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $66.65 / $66.65	Professional		$66.65	$66.65	$66.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $51.74	Professional		$37.77	$37.77	$51.74
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $79.98 / $179.98 / $332.00	Facility		$79.98	$179.98	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $41.31 / $59.99 / $143.97	Professional		$41.31	$59.99	$143.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.65 / $33.65 / $33.65	Facility		$33.65	$33.65	$33.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $48.09 / $57.37	Professional		$33.65	$48.09	$57.37
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $64.88 / $64.88	Professional		$64.88	$64.88	$64.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $555.00	Facility		$51.74	$51.74	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $47.66 / $123.98	Professional		$37.77	$47.66	$123.98
United Facility/Professional Professional Modifier Low / Median / High Price $26.60 / $47.99 / $68.95	Professional		$26.60	$47.99	$68.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.09 / $48.09 / $49.98	Facility		$48.09	$48.09	$49.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.65 / $48.09 / $51.09	Professional		$33.65	$48.09	$51.09