Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.42 / $37.46 / $45.54	Professional		$19.42	$37.46	$45.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.04 / $112.84 / $125.38	Facility		$94.04	$112.84	$125.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $26.77 / $100.07	Professional		$21.20	$26.77	$100.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $48.57 / $52.23 / $52.23	Facility		$48.57	$52.23	$52.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $52.23 / $52.23	Professional		$52.23	$52.23	$52.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $61.43 / $61.43	Facility		$61.43	$61.43	$61.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $22.57	Professional		$22.57	$22.57	$22.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $62.69 / $84.63 / $136.04	Professional		$62.69	$84.63	$136.04
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.89 / $35.89 / $35.89	Facility		$35.89	$35.89	$35.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $35.89 / $62.69	Professional		$35.89	$35.89	$62.69
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $52.48	Professional		$52.48	$52.48	$52.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $61.43 / $555.00 / $597.00	Facility		$61.43	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $108.46	Professional		$22.57	$22.57	$108.46
United Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $31.28 / $53.77	Professional		$20.85	$31.28	$53.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.89 / $38.13 / $62.69	Professional		$35.89	$38.13	$62.69