Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $45.10 / $91.62	Facility		$21.66	$45.10	$91.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $22.20 / $29.56	Professional		$18.84	$22.20	$29.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $66.25	Facility		$25.48	$25.48	$66.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $15.41 / $57.51	Professional		$12.16	$15.41	$57.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $25.48 / $25.48	Facility		$15.29	$25.48	$25.48
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $25.48 / $25.48	Professional		$18.60	$25.48	$25.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.80 / $51.58 / $260.57	Facility		$17.80	$51.58	$260.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.49 / $163.44	Professional		$18.87	$28.49	$163.44
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $33.11 / $332.00	Facility		$14.60	$33.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $15.29 / $46.63	Professional		$11.64	$15.29	$46.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $25.48 / $25.48	Facility		$25.48	$25.48	$25.48
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $25.48 / $33.22	Professional		$22.45	$25.48	$33.22
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $18.86 / $18.86 / $18.86	Professional		$18.86	$18.86	$18.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $32.36 / $35.15	Facility		$32.36	$32.36	$35.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $62.14 / $304.26	Facility		$23.35	$62.14	$304.26
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $35.02 / $52.49	Professional		$20.36	$35.02	$52.49
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $15.29 / $39.49	Professional		$10.70	$15.29	$39.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.30 / $29.30 / $93.87	Facility		$29.30	$29.30	$93.87
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.45 / $28.62 / $33.82	Professional		$22.45	$28.62	$33.82