Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $47.49 / $105.35	Facility		$14.67	$47.49	$105.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $23.08 / $39.72	Professional		$9.41	$23.08	$39.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $44.90	Facility		$17.27	$17.27	$44.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $8.80 / $31.57	Professional		$6.91	$8.80	$31.57
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.36 / $17.27 / $17.27	Facility		$10.36	$17.27	$17.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $17.27 / $17.27	Professional		$12.61	$17.27	$17.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $22.35 / $42.58	Facility		$9.15	$22.35	$42.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.67 / $24.78 / $83.24	Professional		$9.67	$24.78	$83.24
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $24.88 / $332.00	Facility		$15.36	$24.88	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $10.28 / $32.29	Professional		$6.91	$10.28	$32.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $10.46 / $10.46	Facility		$10.46	$10.46	$10.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.46 / $14.68 / $19.39	Professional		$10.46	$14.68	$19.39
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $5.23 / $5.23 / $5.23	Professional		$5.23	$5.23	$5.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.59 / $43.18 / $112.90	Facility		$13.59	$43.18	$112.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $30.86 / $555.00	Facility		$12.07	$30.86	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $16.51 / $35.58	Professional		$11.23	$16.51	$35.58
United Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $10.36 / $25.36	Professional		$7.25	$10.36	$25.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.86 / $19.86 / $24.40	Facility		$19.86	$19.86	$24.40
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.82 / $16.41 / $20.76	Professional		$10.82	$16.41	$20.76