Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.49 / $68.92 / $119.04	Facility		$21.49	$68.92	$119.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.53 / $22.64 / $43.52	Professional		$18.53	$22.64	$43.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.77 / $41.77 / $108.60	Facility		$41.77	$41.77	$108.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.03 / $21.30 / $63.20	Professional		$12.03	$21.30	$63.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.06 / $41.77 / $41.77	Facility		$25.06	$41.77	$41.77
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.49 / $41.77 / $41.77	Professional		$30.49	$41.77	$41.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $84.79 / $268.29	Facility		$29.19	$84.79	$268.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.19 / $42.37 / $201.33	Professional		$19.19	$42.37	$201.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.60 / $54.30 / $332.00	Facility		$21.60	$54.30	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $25.06 / $76.44	Professional		$16.71	$25.06	$76.44
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $33.14 / $43.79	Professional		$20.38	$33.14	$43.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.27 / $51.24 / $97.04	Facility		$34.27	$51.24	$97.04
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.68 / $102.16 / $298.10	Facility		$29.68	$102.16	$298.10
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.97 / $41.77 / $64.73	Professional		$19.97	$41.77	$64.73
United Facility/Professional Professional Modifier Low / Median / High Price $17.54 / $22.97 / $61.35	Professional		$17.54	$22.97	$61.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $48.03 / $48.03 / $91.98	Facility		$48.03	$48.03	$91.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.38 / $33.14 / $50.20	Professional		$20.38	$33.14	$50.20