Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.29 / $48.65 / $97.69	Facility		$22.29	$48.65	$97.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $24.73 / $27.80	Professional		$23.60	$24.73	$27.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.80 / $27.80 / $72.28	Facility		$27.80	$27.80	$72.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $16.80 / $62.76	Professional		$13.15	$16.80	$62.76
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $27.80 / $27.80	Facility		$16.68	$27.80	$27.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.29 / $27.80 / $27.80	Professional		$20.29	$27.80	$27.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.42 / $56.53 / $284.52	Facility		$19.42	$56.53	$284.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $31.41 / $179.94	Professional		$20.61	$31.41	$179.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $37.11 / $332.00	Facility		$18.10	$37.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.70 / $16.68 / $50.87	Professional		$12.70	$16.68	$50.87
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.55 / $25.55 / $25.55	Facility		$25.55	$25.55	$25.55
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $26.70 / $36.90	Professional		$24.51	$26.70	$36.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $49.53 / $125.64	Facility		$22.10	$49.53	$125.64
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $68.11 / $332.03	Facility		$25.48	$68.11	$332.03
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.14 / $38.22 / $57.27	Professional		$22.14	$38.22	$57.27
United Facility/Professional Professional Modifier Low / Median / High Price $11.68 / $16.68 / $43.64	Professional		$11.68	$16.68	$43.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.97 / $31.97 / $102.41	Facility		$31.97	$31.97	$102.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.51 / $31.08 / $38.00	Professional		$24.51	$31.08	$38.00