Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $62.77 / $4,589.54	Facility		$52.75	$62.77	$4,589.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $54.86	Professional		$52.75	$52.75	$54.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $52.75 / $83.18	Professional		$46.98	$52.75	$83.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $43.82 / $46.01	Facility		$43.82	$43.82	$46.01
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $43.82 / $43.82 / $43.82	Professional		$43.82	$43.82	$43.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $49.77 / $85.00	Facility		$46.47	$49.77	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $57.23	Professional		$52.75	$52.75	$57.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $57.23 / $74.66 / $332.00	Facility		$57.23	$74.66	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $52.26 / $57.23 / $66.00	Professional		$52.26	$57.23	$66.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.75 / $52.75 / $54.74	Facility		$52.75	$52.75	$54.74
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $54.74 / $54.74	Professional		$52.75	$54.74	$54.74
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.64 / $323.64 / $323.64	Facility		$323.64	$323.64	$323.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $52.75 / $597.00	Facility		$46.47	$52.75	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $62.06	Professional		$52.75	$52.75	$62.06
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $79.13	Professional		$52.75	$52.75	$79.13
Univera Facility/Professional Facility Modifier Low / Median / High Price $54.74 / $54.74 / $54.74	Facility		$54.74	$54.74	$54.74
Univera Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $54.74 / $54.74	Professional		$52.75	$54.74	$54.74