Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $51.29 / $61.66	Professional		$28.18	$51.29	$61.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $169.82 / $169.82	Facility		$125.89	$169.82	$169.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $35.48 / $147.91	Professional		$28.18	$35.48	$147.91
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $69.18 / $69.18	Facility		$64.57	$69.18	$69.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $83.18	Professional		$29.51	$29.51	$83.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $97.72 / $154.88	Professional		$85.11	$97.72	$154.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $70.79	Professional		$47.86	$50.12	$70.79
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $81.28 / $83.18	Professional		$75.86	$81.28	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $41.69 / $61.66	Professional		$27.54	$41.69	$61.66
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $47.86	Facility		$47.86	$47.86	$47.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $50.12 / $83.18	Professional		$47.86	$50.12	$83.18