Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.08 / $88.11 / $1,629.83	Facility		$53.08	$88.11	$1,629.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $64.33	Professional		$53.08	$53.08	$64.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.46 / $42.46 / $53.08	Facility		$42.46	$42.46	$53.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $97.56	Professional		$53.08	$53.08	$97.56
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $52.45 / $52.45 / $55.07	Facility		$52.45	$52.45	$55.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $52.45 / $52.45	Professional		$52.45	$52.45	$52.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $57.86 / $57.86	Facility		$47.49	$57.86	$57.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $47.49 / $47.49	Professional		$47.49	$47.49	$47.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $72.40 / $332.00	Facility		$45.25	$72.40	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.07 / $60.08 / $93.63	Professional		$50.07	$60.08	$93.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $53.08 / $53.08	Facility		$47.49	$53.08	$53.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $53.08 / $53.08	Professional		$47.49	$53.08	$53.08
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $72.37 / $252.13	Facility		$29.51	$72.37	$252.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $57.86 / $597.00	Facility		$47.49	$57.86	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $53.08 / $76.97	Professional		$47.49	$53.08	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $76.73	Professional		$53.08	$53.08	$76.73
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $49.30	Facility		$47.49	$47.49	$49.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $50.43 / $53.08	Professional		$47.49	$50.43	$53.08