Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.38 / $66.34 / $109.92	Facility		$24.38	$66.34	$109.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $21.03 / $38.57	Professional		$16.05	$21.03	$38.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $100.28	Facility		$38.57	$38.57	$100.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $19.44 / $61.40	Professional		$15.43	$19.44	$61.40
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $38.57 / $38.57	Facility		$23.14	$38.57	$38.57
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $38.57 / $38.57	Professional		$28.16	$38.57	$38.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $78.44 / $100.51	Facility		$26.95	$78.44	$100.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $44.19 / $185.91	Professional		$21.60	$44.19	$185.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.79 / $53.27 / $332.00	Facility		$30.79	$53.27	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.12 / $22.76 / $70.58	Professional		$14.12	$22.76	$70.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.61 / $10.61 / $10.61	Facility		$10.61	$10.61	$10.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $32.56 / $42.20	Professional		$10.61	$32.56	$42.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $47.08 / $260.00	Facility		$30.60	$47.08	$260.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $81.94 / $254.50	Facility		$26.95	$81.94	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $28.93 / $79.45	Professional		$25.07	$28.93	$79.45
United Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $9.40 / $25.07	Facility		$9.40	$9.40	$25.07
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $21.21 / $55.93	Professional		$16.20	$21.21	$55.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.35 / $44.35 / $53.96	Facility		$44.35	$44.35	$53.96
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.37 / $36.64 / $46.36	Professional		$23.37	$36.64	$46.36