Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $32.65 / $41.69	Professional		$16.86	$32.65	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.63 / $97.96 / $108.84	Facility		$81.63	$97.96	$108.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $23.24 / $86.90	Professional		$18.39	$23.24	$86.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.17 / $45.34 / $45.34	Facility		$42.17	$45.34	$45.34
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $45.34 / $45.34 / $45.34	Professional		$45.34	$45.34	$45.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $53.53 / $53.53	Facility		$53.53	$53.53	$53.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $19.59	Professional		$19.59	$19.59	$19.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $73.47 / $118.09	Professional		$54.42	$73.47	$118.09
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.17 / $31.17 / $31.17	Facility		$31.17	$31.17	$31.17
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $31.17 / $54.42	Professional		$31.17	$31.17	$54.42
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.55 / $45.55 / $55.00	Professional		$45.55	$45.55	$55.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $53.53 / $555.00 / $597.00	Facility		$53.53	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.59 / $19.59 / $94.16	Professional		$19.59	$19.59	$94.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $27.16 / $46.69	Professional		$18.10	$27.16	$46.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.17 / $33.11 / $54.42	Professional		$31.17	$33.11	$54.42