Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.89 / $51.24 / $102.19	Facility		$24.89	$51.24	$102.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $25.26 / $26.55	Professional		$17.73	$25.26	$26.55
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 $13.01 / $17.71 / $58.21	Professional		$13.01	$17.71	$58.21
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 / $76.06	Facility		$20.46	$59.36	$76.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $28.26 / $141.13	Professional		$17.79	$28.26	$141.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.39 / $41.13 / $332.00	Facility		$25.39	$41.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $17.43 / $54.75	Professional		$11.71	$17.43	$54.75
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $27.82 / $35.19	Professional		$20.37	$27.82	$35.19
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.54 / $78.05 / $130.43	Facility		$24.54	$78.05	$130.43
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $61.85 / $254.50	Facility		$20.46	$61.85	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.02 / $24.40 / $47.52	Professional		$21.02	$24.40	$47.52
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.57 / $43.00	Professional		$12.30	$17.57	$43.00
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.67 / $33.67 / $42.13	Facility		$33.67	$33.67	$42.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $29.28 / $35.64	Professional		$20.37	$29.28	$35.64