Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.41 / $49.03 / $59.12	Professional		$25.41	$49.03	$59.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.08 / $147.69 / $164.10	Facility		$123.08	$147.69	$164.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.98 / $35.03 / $131.00	Professional		$26.98	$35.03	$131.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $68.36 / $68.36	Facility		$63.57	$68.36	$68.36
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $68.36 / $68.36 / $68.36	Professional		$68.36	$68.36	$68.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $79.30 / $79.30	Facility		$79.30	$79.30	$79.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $29.54	Professional		$29.54	$29.54	$29.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $99.73 / $178.05	Professional		$82.05	$99.73	$178.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $46.98 / $46.98	Facility		$46.98	$46.98	$46.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $46.98 / $82.05	Professional		$46.98	$46.98	$82.05
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.67 / $68.67 / $68.67	Professional		$68.67	$68.67	$68.67
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $79.30 / $555.00 / $597.00	Facility		$79.30	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $29.54 / $141.96	Professional		$29.54	$29.54	$141.96
United Facility/Professional Professional Modifier Low / Median / High Price $27.29 / $40.93 / $73.87	Professional		$27.29	$40.93	$73.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $49.91 / $82.05	Professional		$46.98	$49.91	$82.05