Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $64.14 / $148.11	Facility		$51.31	$64.14	$148.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $56.44	Professional		$51.31	$51.31	$56.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.52 / $39.69 / $77.48	Professional		$20.52	$39.69	$77.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Facility		$51.31	$51.31	$51.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $51.31	Professional		$51.31	$51.31	$51.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $108.87 / $126.14	Facility		$92.58	$108.87	$126.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $67.15 / $247.31	Professional		$51.31	$67.15	$247.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $66.70 / $319.00	Facility		$51.31	$66.70	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $35.92 / $62.36 / $97.49	Professional		$35.92	$62.36	$97.49
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $30.79 / $30.79	Facility		$30.79	$30.79	$30.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $48.74 / $66.19	Professional		$30.79	$48.74	$66.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.16 / $165.15 / $185.61	Facility		$62.16	$165.15	$185.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $92.58 / $108.87 / $597.00	Facility		$92.58	$108.87	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $47.51 / $51.31 / $118.01	Professional		$47.51	$51.31	$118.01
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $30.79 / $90.04	Professional		$21.55	$30.79	$90.04
Univera Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $59.01 / $59.01	Facility		$51.31	$59.01	$59.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.61 / $51.31 / $66.19	Professional		$43.61	$51.31	$66.19