Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.76 / $52.57 / $93.50	Facility		$22.76	$52.57	$93.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.41 / $23.92 / $30.81	Professional		$17.41	$23.92	$30.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $69.65	Facility		$26.79	$26.79	$69.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.77 / $16.20 / $60.47	Professional		$12.77	$16.20	$60.47
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $26.79 / $26.79	Facility		$16.07	$26.79	$26.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $26.79 / $26.79	Professional		$19.55	$26.79	$26.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.72 / $54.41 / $275.58	Facility		$18.72	$54.41	$275.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.95 / $172.61	Professional		$19.95	$29.95	$172.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $37.51 / $332.00	Facility		$20.10	$37.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.24 / $16.07 / $49.03	Professional		$12.24	$16.07	$49.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.79 / $26.79 / $26.79	Facility		$26.79	$26.79	$26.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $26.79 / $34.56	Professional		$23.61	$26.79	$34.56
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $18.75 / $18.75	Professional		$18.75	$18.75	$18.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.77 / $58.74 / $132.58	Facility		$29.77	$58.74	$132.58
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $65.56 / $319.77	Facility		$24.55	$65.56	$319.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $36.82 / $55.19	Professional		$21.35	$36.82	$55.19
United Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $16.07 / $41.52	Professional		$11.25	$16.07	$41.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.81 / $30.81 / $98.63	Facility		$30.81	$30.81	$98.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.61 / $30.09 / $35.54	Professional		$23.61	$30.09	$35.54