Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $51.68 / $89.03	Facility		$22.85	$51.68	$89.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.93 / $26.32 / $29.53	Professional		$21.93	$26.32	$29.53
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.53 / $29.53 / $76.78	Facility		$29.53	$29.53	$76.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.39 / $17.86 / $66.65	Professional		$13.39	$17.86	$66.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.72 / $29.53 / $29.53	Facility		$17.72	$29.53	$29.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.56 / $29.53 / $29.53	Professional		$21.56	$29.53	$29.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $60.06 / $302.49	Facility		$20.64	$60.06	$302.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $33.24 / $189.12	Professional		$21.91	$33.24	$189.12
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $39.15 / $332.00	Facility		$19.10	$39.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $17.72 / $54.04	Professional		$11.81	$17.72	$54.04
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.10 / $29.53 / $35.49	Professional		$25.10	$29.53	$35.49
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $62.01 / $133.44	Facility		$12.20	$62.01	$133.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.06 / $72.36 / $352.66	Facility		$27.06	$72.36	$352.66
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.50 / $33.08 / $60.83	Professional		$22.50	$33.08	$60.83
United Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Facility		$75.00	$75.00	$75.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $17.72 / $46.36	Professional		$12.40	$17.72	$46.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $33.96 / $108.79	Facility		$33.96	$33.96	$108.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $31.83 / $39.20	Professional		$26.03	$31.83	$39.20