Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.25 / $88.91 / $177.71	Facility		$33.25	$88.91	$177.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.67 / $33.58 / $38.61	Professional		$28.67	$33.58	$38.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $100.41	Facility		$38.61	$38.61	$100.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $23.36 / $87.16	Professional		$18.43	$23.36	$87.16
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.17 / $38.61 / $38.61	Facility		$23.17	$38.61	$38.61
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.19 / $38.61 / $38.61	Professional		$28.19	$38.61	$38.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $78.44 / $395.41	Facility		$26.98	$78.44	$395.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.63 / $43.47 / $246.04	Professional		$28.63	$43.47	$246.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $50.43 / $332.00	Facility		$24.60	$50.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $23.17 / $70.67	Professional		$17.64	$23.17	$70.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $38.61 / $38.61	Facility		$38.61	$38.61	$38.61
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $38.61 / $49.82	Professional		$34.04	$38.61	$49.82
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $27.03	Professional		$27.03	$27.03	$27.03
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.41 / $75.55 / $172.04	Facility		$30.41	$75.55	$172.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $94.50 / $461.26	Facility		$35.39	$94.50	$461.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.84 / $43.47 / $79.56	Professional		$30.84	$43.47	$79.56
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.17 / $57.93	Professional		$16.22	$23.17	$57.93
Univera Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $44.41 / $142.28	Facility		$44.41	$44.41	$142.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $43.37 / $51.27	Professional		$34.04	$43.37	$51.27