Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.07 / $101.91 / $1,564.95	Facility		$53.07	$101.91	$1,564.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.07 / $53.08 / $182.00	Professional		$53.07	$53.08	$182.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $100.35	Professional		$53.08	$53.08	$100.35
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 $45.90 / $56.69 / $56.69	Facility		$45.90	$56.69	$56.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $45.90 / $51.71	Professional		$45.90	$45.90	$51.71
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 $61.45 / $118.80 / $200.05	Facility		$61.45	$118.80	$200.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $56.69 / $597.00	Facility		$45.90	$56.69	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $45.90 / $55.60 / $76.97	Professional		$45.90	$55.60	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $53.08 / $53.08 / $79.62	Professional		$53.08	$53.08	$79.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.49 / $47.49 / $47.72	Facility		$47.49	$47.49	$47.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.49 / $50.41 / $53.08	Professional		$47.49	$50.41	$53.08