Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $42.32 / $83.66	Facility		$20.55	$42.32	$83.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.61 / $24.18	Professional		$17.95	$21.61	$24.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.18 / $24.18 / $62.87	Facility		$24.18	$24.18	$62.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.54 / $14.62 / $52.52	Professional		$11.54	$14.62	$52.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.51 / $24.18 / $24.18	Facility		$14.51	$24.18	$24.18
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $24.18 / $24.18	Professional		$17.64	$24.18	$24.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $48.76 / $248.60	Facility		$16.89	$48.76	$248.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $27.03 / $154.25	Professional		$18.00	$27.03	$154.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $33.01 / $332.00	Facility		$16.10	$33.01	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $14.51 / $44.25	Professional		$11.05	$14.51	$44.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.68 / $17.68 / $17.68	Facility		$17.68	$17.68	$17.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $22.58 / $29.06	Professional		$17.68	$22.58	$29.06
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.93 / $16.93 / $16.93	Professional		$16.93	$16.93	$16.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.30 / $60.45 / $118.08	Facility		$21.30	$60.45	$118.08
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.17 / $58.75 / $288.77	Facility		$22.17	$58.75	$288.77
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $33.25 / $49.81	Professional		$19.37	$33.25	$49.81
United Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $14.51 / $37.47	Professional		$10.16	$14.51	$37.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $27.81 / $27.81 / $81.03	Facility		$27.81	$27.81	$81.03
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $24.58 / $29.19	Professional		$19.87	$24.58	$29.19