Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $48.61 / $81.48	Facility		$21.05	$48.61	$81.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $19.17 / $27.39	Professional		$14.93	$19.17	$27.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $27.39 / $71.20	Facility		$27.39	$27.39	$71.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $14.00 / $47.11	Professional		$9.60	$14.00	$47.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.43 / $27.39 / $27.39	Facility		$16.43	$27.39	$27.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $27.39 / $27.39	Professional		$19.98	$27.39	$27.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.14 / $55.12 / $216.09	Facility		$19.14	$55.12	$216.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.46 / $27.76 / $132.02	Professional		$15.46	$27.76	$132.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.61 / $332.00	Facility		$16.60	$35.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.43 / $50.12	Professional		$10.96	$16.43	$50.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $23.31 / $30.76	Professional		$17.73	$23.31	$30.76
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.18 / $95.18 / $95.18	Facility		$95.18	$95.18	$95.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.92 / $66.41 / $254.50	Facility		$23.92	$66.41	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $31.80 / $48.80	Professional		$16.01	$31.80	$48.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $16.05 / $40.22	Professional		$11.50	$16.05	$40.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.50 / $31.50 / $72.30	Facility		$31.50	$31.50	$72.30
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $26.02 / $32.92	Professional		$17.73	$26.02	$32.92