Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $49.42 / $77.93	Professional		$31.07	$49.42	$77.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.89 / $135.47 / $150.52	Facility		$112.89	$135.47	$150.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.44 / $32.13 / $120.14	Professional		$25.44	$32.13	$120.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $58.31 / $62.70 / $62.70	Facility		$58.31	$62.70	$62.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $62.70 / $62.70 / $62.70	Professional		$62.70	$62.70	$62.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $113.36 / $113.36	Facility		$113.36	$113.36	$113.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $36.11	Professional		$36.11	$36.11	$36.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $90.00 / $163.31	Professional		$79.02	$90.00	$163.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.09 / $43.09 / $43.09	Facility		$43.09	$43.09	$43.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $43.09 / $75.26	Professional		$43.09	$43.09	$75.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.99 / $62.99 / $379.00	Professional		$62.99	$62.99	$379.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $113.36 / $555.00 / $597.00	Facility		$113.36	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $36.11 / $132.87	Professional		$36.11	$36.11	$132.87
United Facility/Professional Professional Modifier Low / Median / High Price $25.03 / $39.54 / $67.75	Professional		$25.03	$39.54	$67.75
Univera Facility/Professional Professional Modifier Low / Median / High Price $43.09 / $45.78 / $75.26	Professional		$43.09	$45.78	$75.26