Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $96.08 / $9,028.37	Facility		$47.55	$96.08	$9,028.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $48.02 / $3,648.00	Professional		$47.55	$48.02	$3,648.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $47.55	Facility		$38.04	$38.04	$47.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.96 / $47.55 / $48.50	Professional		$23.96	$47.55	$48.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.41 / $47.41 / $49.78	Facility		$47.41	$47.41	$49.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $47.41 / $47.41 / $47.41	Professional		$47.41	$47.41	$47.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $47.55 / $92.49	Facility		$41.89	$47.55	$92.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $46.07 / $73.70 / $332.00	Facility		$46.07	$73.70	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.36 / $46.07 / $82.99	Professional		$40.36	$46.07	$82.99
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.55 / $47.55 / $53.25	Facility		$47.55	$47.55	$53.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $53.25 / $53.25	Professional		$47.55	$53.25	$53.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $54.84 / $119.42	Facility		$31.01	$54.84	$119.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.94 / $36.94 / $92.49	Professional		$32.94	$36.94	$92.49
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.89 / $70.33 / $92.49	Facility		$41.89	$70.33	$92.49
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $96.11	Professional		$47.55	$47.55	$96.11
United Facility/Professional Professional Modifier Low / Median / High Price $46.54 / $49.83 / $71.33	Professional		$46.54	$49.83	$71.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $53.25 / $53.25 / $53.25	Facility		$53.25	$53.25	$53.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $53.25 / $53.25	Professional		$47.55	$53.25	$53.25