Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.92 / $171.02 / $862.71	Facility		$40.92	$171.02	$862.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.64 / $44.91 / $208.05	Professional		$40.64	$44.91	$208.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $113.60	Professional		$40.65	$40.65	$113.60
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.15 / $46.15 / $46.15	Facility		$46.15	$46.15	$46.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $46.15 / $46.15	Professional		$46.15	$46.15	$46.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $40.65 / $163.92	Facility		$38.35	$40.65	$163.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $47.94	Professional		$40.65	$40.65	$47.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.10 / $57.53 / $332.00	Facility		$44.10	$57.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.27 / $44.10 / $44.10	Professional		$40.27	$44.10	$44.10
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $42.19	Facility		$40.65	$40.65	$42.19
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.19 / $42.19	Professional		$40.65	$42.19	$42.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.64 / $57.91 / $194.61	Facility		$46.64	$57.91	$194.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.35 / $48.72 / $163.92	Facility		$38.35	$48.72	$163.92
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $51.97	Professional		$40.65	$40.65	$51.97
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $73.27	Professional		$40.65	$40.65	$73.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.19 / $42.19 / $63.01	Facility		$42.19	$42.19	$63.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $42.19 / $42.19	Professional		$40.65	$42.19	$42.19