Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $74.30 / $390.92	Facility		$22.16	$74.30	$390.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.04 / $20.32 / $27.04	Professional		$13.04	$20.32	$27.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.07 / $26.07 / $67.78	Facility		$26.07	$26.07	$67.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.29 / $47.66	Professional		$9.33	$13.29	$47.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $26.07 / $26.07	Facility		$15.64	$26.07	$26.07
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.03 / $26.07 / $26.07	Professional		$19.03	$26.07	$26.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.22 / $53.00 / $207.96	Facility		$18.22	$53.00	$207.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $26.30 / $125.66	Professional		$14.88	$26.30	$125.66
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.10 / $35.06 / $332.00	Facility		$17.10	$35.06	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $21.85 / $47.71	Professional		$11.99	$21.85	$47.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.36 / $16.36 / $16.36	Facility		$16.36	$16.36	$16.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $20.90 / $29.28	Professional		$16.36	$20.90	$29.28
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $71.68 / $215.93	Facility		$23.49	$71.68	$215.93
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.37 / $17.37 / $17.37	Professional		$17.37	$17.37	$17.37
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.99 / $63.86 / $254.50	Facility		$22.99	$63.86	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $30.15 / $42.44	Professional		$15.42	$30.15	$42.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $14.26 / $38.29	Professional		$10.95	$14.26	$38.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $29.98 / $71.28	Facility		$29.98	$29.98	$71.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $22.98 / $31.33	Professional		$17.47	$22.98	$31.33