Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $56.40 / $130.46	Facility		$21.23	$56.40	$130.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.89 / $23.36 / $35.24	Professional		$19.89	$23.36	$35.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.22 / $27.22 / $70.77	Facility		$27.22	$27.22	$70.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.23 / $16.60 / $56.90	Professional		$13.23	$16.60	$56.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.32 / $27.22 / $27.22	Facility		$16.32	$27.22	$27.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $27.22 / $27.22	Professional		$19.87	$27.22	$27.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $55.12 / $70.64	Facility		$19.02	$55.12	$70.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $29.95 / $131.19	Professional		$19.95	$29.95	$131.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $35.39 / $332.00	Facility		$15.50	$35.39	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $16.32 / $49.81	Professional		$10.89	$16.32	$49.81
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $25.73 / $30.57	Professional		$21.87	$25.73	$30.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.02 / $66.23 / $256.70	Facility		$24.02	$66.23	$256.70
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.96 / $17.96 / $18.14	Professional		$17.96	$17.96	$18.14
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $58.62 / $254.50	Facility		$19.91	$58.62	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $29.73 / $56.07	Professional		$21.35	$29.73	$56.07
United Facility/Professional Professional Modifier Low / Median / High Price $11.43 / $16.32 / $42.21	Professional		$11.43	$16.32	$42.21
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.30 / $31.30 / $65.20	Facility		$31.30	$31.30	$65.20
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.87 / $27.22 / $32.72	Professional		$21.87	$27.22	$32.72