Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $46.64 / $75.95	Facility		$22.64	$46.64	$75.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $21.44 / $23.23	Professional		$18.26	$21.44	$23.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $69.29	Facility		$26.65	$26.65	$69.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.63 / $15.56 / $55.52	Professional		$11.63	$15.56	$55.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $26.65 / $26.65	Facility		$15.99	$26.65	$26.65
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.45 / $26.65 / $26.65	Professional		$19.45	$26.65	$26.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $53.70 / $251.63	Facility		$18.63	$53.70	$251.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $27.76 / $156.08	Professional		$18.22	$27.76	$156.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.10 / $37.31 / $332.00	Facility		$19.10	$37.31	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $15.99 / $48.77	Professional		$12.18	$15.99	$48.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.65 / $26.65 / $26.65	Facility		$26.65	$26.65	$26.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.65 / $26.65 / $32.64	Professional		$22.65	$26.65	$32.64
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.45 / $47.48 / $66.84	Facility		$21.45	$47.48	$66.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.42 / $64.70 / $293.58	Facility		$24.42	$64.70	$293.58
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.65 / $53.86	Professional		$18.80	$27.65	$53.86
United Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $15.99 / $39.14	Professional		$11.19	$15.99	$39.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.65 / $30.65 / $90.60	Facility		$30.65	$30.65	$90.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.21 / $29.02 / $34.38	Professional		$22.21	$29.02	$34.38