Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $70.36 / $126.11	Facility		$32.65	$70.36	$126.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $22.13 / $44.25	Professional		$16.32	$22.13	$44.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.25 / $44.25 / $115.05	Facility		$44.25	$44.25	$115.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $22.56 / $60.18	Professional		$17.70	$22.56	$60.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.55 / $44.25 / $44.25	Facility		$26.55	$44.25	$44.25
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $32.29 / $44.25 / $44.25	Professional		$32.29	$44.25	$44.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $89.75 / $115.00	Facility		$30.92	$89.75	$115.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $29.15 / $213.29	Professional		$12.14	$29.15	$213.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $57.53 / $332.00	Facility		$10.00	$57.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $26.11 / $80.98	Professional		$17.70	$26.11	$80.98
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.76 / $46.39	Professional		$11.15	$25.76	$46.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.83 / $75.83 / $110.97	Facility		$75.83	$75.83	$110.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.92 / $108.13 / $254.50	Facility		$30.92	$108.13	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.93 / $17.80 / $68.59	Professional		$11.93	$17.80	$68.59
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $19.47 / $64.98	Professional		$10.50	$19.47	$64.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.04 / $50.89 / $50.89	Facility		$33.04	$50.89	$50.89
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $25.76 / $53.18	Professional		$11.15	$25.76	$53.18