Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $53.76 / $60.68	Facility		$51.00	$53.76	$60.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $53.04	Professional		$51.00	$51.00	$53.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.96 / $51.00 / $68.34	Professional		$48.96	$51.00	$68.34
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $56.96 / $56.96 / $62.66	Facility		$56.96	$56.96	$62.66
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $56.96 / $56.96 / $56.96	Professional		$56.96	$56.96	$56.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $48.12 / $85.00	Facility		$41.26	$48.12	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $55.33	Professional		$51.00	$51.00	$55.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $72.18 / $332.00	Facility		$51.00	$72.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $63.81	Professional		$51.00	$51.00	$63.81
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $52.93	Facility		$51.00	$51.00	$52.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $52.93 / $52.93	Professional		$51.00	$52.93	$52.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,984.24 / $1,984.24 / $1,984.24	Facility		$1,984.24	$1,984.24	$1,984.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.26 / $51.00 / $597.00	Facility		$41.26	$51.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $63.67	Professional		$51.00	$51.00	$63.67
United Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $51.00 / $78.25	Professional		$51.00	$51.00	$78.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.54 / $52.93 / $52.93	Facility		$12.54	$52.93	$52.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $51.00 / $52.93 / $52.93	Professional		$51.00	$52.93	$52.93