Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.46 / $53.48 / $118.39	Facility		$21.46	$53.48	$118.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $22.01 / $29.04	Professional		$12.71	$22.01	$29.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.25 / $25.25 / $65.65	Facility		$25.25	$25.25	$65.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $13.51 / $45.21	Professional		$8.66	$13.51	$45.21
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.15 / $25.25 / $25.25	Facility		$15.15	$25.25	$25.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $25.25 / $25.25	Professional		$18.43	$25.25	$25.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.64 / $50.89 / $183.99	Facility		$17.64	$50.89	$183.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.87 / $28.49 / $161.60	Professional		$18.87	$28.49	$161.60
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $35.35 / $332.00	Facility		$20.10	$35.35	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $15.15 / $46.21	Professional		$11.54	$15.15	$46.21
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 $18.57 / $23.74 / $30.35	Professional		$18.57	$23.74	$30.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $51.00 / $114.64	Facility		$22.24	$51.00	$114.64
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.14 / $61.31 / $254.50	Facility		$23.14	$61.31	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.16 / $29.80 / $52.02	Professional		$20.16	$29.80	$52.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $14.02 / $37.88	Professional		$10.61	$14.02	$37.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $29.04 / $98.07	Facility		$29.04	$29.04	$98.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.68 / $25.59 / $30.39	Professional		$20.68	$25.59	$30.39