Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $43.41 / $77.81	Facility		$23.21	$43.41	$77.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $19.73 / $27.30	Professional		$12.71	$19.73	$27.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.30 / $27.30 / $70.98	Facility		$27.30	$27.30	$70.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $13.92 / $43.35	Professional		$8.33	$13.92	$43.35
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.38 / $27.30 / $27.30	Facility		$16.38	$27.30	$27.30
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.93 / $27.30 / $27.30	Professional		$19.93	$27.30	$27.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $55.12 / $183.99	Facility		$19.07	$55.12	$183.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $27.76 / $131.59	Professional		$13.22	$27.76	$131.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $35.49 / $332.00	Facility		$12.10	$35.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.48 / $16.38 / $49.96	Professional		$12.48	$16.38	$49.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $18.57	Facility		$18.57	$18.57	$18.57
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $20.56 / $28.62	Professional		$16.01	$20.56	$28.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $18.89 / $18.89	Facility		$18.89	$18.89	$18.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.45 / $66.41 / $254.50	Facility		$20.45	$66.41	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $13.64 / $28.82 / $42.32	Professional		$13.64	$28.82	$42.32
United Facility/Professional Facility Modifier Low / Median / High Price $11.79 / $12.97 / $17.75	Facility		$11.79	$12.97	$17.75
United Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $13.66 / $39.59	Professional		$11.16	$13.66	$39.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.39 / $31.39 / $63.31	Facility		$31.39	$31.39	$63.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.53 / $22.82 / $32.81	Professional		$15.53	$22.82	$32.81