Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $43.40 / $94.83	Facility		$17.85	$43.40	$94.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $16.80 / $18.79	Professional		$13.95	$16.80	$18.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $48.85	Facility		$18.79	$18.79	$48.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.97 / $11.27 / $39.95	Professional		$8.97	$11.27	$39.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.27 / $18.79 / $18.79	Facility		$11.27	$18.79	$18.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.72 / $18.79 / $18.79	Professional		$13.72	$18.79	$18.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $38.15 / $191.68	Facility		$13.13	$38.15	$191.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.88 / $21.19 / $123.03	Professional		$13.88	$21.19	$123.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $26.31 / $332.00	Facility		$14.60	$26.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.59 / $11.27 / $34.39	Professional		$8.59	$11.27	$34.39
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $17.23 / $17.23	Facility		$17.23	$17.23	$17.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.49 / $17.85 / $22.01	Professional		$14.49	$17.85	$22.01
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $8.61	Professional		$8.61	$8.61	$8.61
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.81 / $30.60 / $83.70	Facility		$12.81	$30.60	$83.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.32 / $45.96 / $251.31	Facility		$18.32	$45.96	$251.31
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.02 / $23.20 / $38.71	Professional		$15.02	$23.20	$38.71
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.27 / $27.53	Professional		$7.89	$11.27	$27.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.61 / $21.61 / $58.97	Facility		$21.61	$21.61	$58.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $18.89 / $22.58	Professional		$14.47	$18.89	$22.58