Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $57.46 / $117.48	Facility		$24.89	$57.46	$117.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.73 / $26.35 / $29.28	Professional		$21.73	$26.35	$29.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $76.13	Facility		$29.28	$29.28	$76.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.96 / $17.71 / $66.06	Professional		$13.96	$17.71	$66.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $29.28 / $29.28	Facility		$17.57	$29.28	$29.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $29.28 / $29.28	Professional		$21.37	$29.28	$29.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $59.36 / $299.52	Facility		$20.46	$59.36	$299.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $32.86 / $187.30	Professional		$21.69	$32.86	$187.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.60 / $38.13 / $332.00	Facility		$18.60	$38.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.38 / $17.57 / $53.58	Professional		$13.38	$17.57	$53.58
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.28 / $29.28 / $29.28	Facility		$29.28	$29.28	$29.28
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $29.28 / $37.77	Professional		$25.80	$29.28	$37.77
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.67 / $32.54 / $131.69	Facility		$23.67	$32.54	$131.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $71.52 / $349.55	Facility		$26.83	$71.52	$349.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.33 / $33.86 / $60.32	Professional		$23.33	$33.86	$60.32
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $48.02	Professional		$12.30	$17.57	$48.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $107.85	Facility		$33.67	$33.67	$107.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $31.67 / $38.86	Professional		$25.80	$31.67	$38.86