Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.28 / $78.58 / $100.77	Professional		$40.28	$78.58	$100.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.11 / $234.13 / $260.14	Facility		$195.11	$234.13	$260.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $55.53 / $207.65	Professional		$43.97	$55.53	$207.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $100.78 / $108.37 / $108.37	Facility		$100.78	$108.37	$108.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $108.37 / $108.37 / $108.37	Professional		$108.37	$108.37	$108.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $133.83 / $133.83	Facility		$133.83	$133.83	$133.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $46.82	Professional		$46.82	$46.82	$46.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $136.57 / $175.59 / $282.25	Professional		$136.57	$175.59	$282.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $74.48 / $74.48	Facility		$74.48	$74.48	$74.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $74.48 / $130.07	Professional		$74.48	$74.48	$130.07
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $108.87 / $108.87	Professional		$108.87	$108.87	$108.87
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $133.83 / $555.00 / $597.00	Facility		$133.83	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $46.82 / $46.82 / $225.03	Professional		$46.82	$46.82	$225.03
United Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $64.89 / $111.56	Professional		$43.26	$64.89	$111.56
Univera Facility/Professional Professional Modifier Low / Median / High Price $74.48 / $79.14 / $130.07	Professional		$74.48	$79.14	$130.07