Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.52 / $83.67 / $139.03	Facility		$41.52	$83.67	$139.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $37.77 / $44.94	Professional		$34.57	$37.77	$44.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.81 / $47.81 / $124.31	Facility		$47.81	$47.81	$124.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $26.30 / $69.51	Professional		$23.61	$26.30	$69.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $47.81 / $47.81	Facility		$28.69	$47.81	$47.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $47.81 / $47.81	Professional		$34.90	$47.81	$47.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $96.80 / $443.89	Facility		$33.40	$96.80	$443.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $53.70 / $264.41	Professional		$31.76	$53.70	$264.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $62.15 / $332.00	Facility		$20.10	$62.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $28.45 / $89.40	Professional		$19.12	$28.45	$89.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $46.48 / $57.46	Professional		$33.53	$46.48	$57.46
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.29 / $41.29 / $119.90	Facility		$41.29	$41.29	$119.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $43.82 / $116.63 / $493.22	Facility		$43.82	$116.63	$493.22
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $31.83 / $97.68	Professional		$25.00	$31.83	$97.68
United Facility/Professional Professional Modifier Low / Median / High Price $20.07 / $26.30 / $70.22	Professional		$20.07	$26.30	$70.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.53 / $54.98 / $64.19	Facility		$48.53	$54.98	$64.19
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.53 / $49.39 / $57.46	Professional		$33.53	$49.39	$57.46