Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.69 / $100.83 / $126.97	Professional		$51.69	$100.83	$126.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.34 / $300.39 / $333.78	Facility		$250.34	$300.39	$333.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.43 / $71.25 / $266.45	Professional		$56.43	$71.25	$266.45
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $139.04 / $139.04	Facility		$129.31	$139.04	$139.04
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $139.04 / $139.04 / $139.04	Professional		$139.04	$139.04	$139.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $168.37 / $168.37 / $168.37	Facility		$168.37	$168.37	$168.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $60.08	Professional		$60.08	$60.08	$60.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $175.23 / $225.30 / $362.15	Professional		$175.23	$225.30	$362.15
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $95.57 / $95.57	Facility		$95.57	$95.57	$95.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $95.57 / $166.89	Professional		$95.57	$95.57	$166.89
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $139.68 / $139.68	Professional		$139.68	$139.68	$139.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $168.37 / $555.00 / $597.00	Facility		$168.37	$555.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $60.08 / $60.08 / $288.74	Professional		$60.08	$60.08	$288.74
United Facility/Professional Professional Modifier Low / Median / High Price $55.51 / $83.26 / $150.27	Professional		$55.51	$83.26	$150.27
Univera Facility/Professional Professional Modifier Low / Median / High Price $95.57 / $101.54 / $166.89	Professional		$95.57	$101.54	$166.89