Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.50 / $52.50 / $90.44	Facility		$28.50	$52.50	$90.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $25.50 / $41.40	Professional		$23.40	$25.50	$41.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $78.00	Facility		$30.00	$30.00	$78.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $12.00 / $40.02	Professional		$5.26	$12.00	$40.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $30.00 / $30.00	Facility		$18.00	$30.00	$30.00
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.90 / $30.00 / $30.00	Professional		$21.90	$30.00	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $60.77 / $105.34	Facility		$20.96	$60.77	$105.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $26.40 / $144.60	Professional		$9.27	$26.40	$144.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $39.00 / $332.00	Facility		$10.10	$39.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $17.70 / $54.90	Professional		$12.00	$17.70	$54.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $16.32 / $31.45	Professional		$10.88	$16.32	$31.45
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.60 / $97.60 / $99.36	Facility		$97.60	$97.60	$99.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.96 / $73.22 / $254.50	Facility		$20.96	$73.22	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.69 / $20.21 / $46.50	Professional		$9.69	$20.21	$46.50
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.70 / $44.06	Professional		$10.50	$14.70	$44.06
Univera Facility/Professional Facility Modifier Low / Median / High Price $34.50 / $34.50 / $51.14	Facility		$34.50	$34.50	$51.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $16.32 / $36.06	Professional		$10.88	$16.32	$36.06