Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $64.91 / $129.69	Facility		$24.19	$64.91	$129.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.03 / $28.10	Professional		$18.27	$25.03	$28.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $73.06	Facility		$28.10	$28.10	$73.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $16.86 / $63.41	Professional		$13.29	$16.86	$63.41
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $28.10 / $28.10	Facility		$16.86	$28.10	$28.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $28.10 / $28.10	Professional		$20.51	$28.10	$28.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $57.25 / $287.56	Facility		$19.64	$57.25	$287.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $31.78 / $179.94	Professional		$20.82	$31.78	$179.94
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $36.53 / $332.00	Facility		$17.60	$36.53	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $16.86 / $51.42	Professional		$12.84	$16.86	$51.42
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $28.10 / $28.10	Facility		$28.10	$28.10	$28.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $28.10 / $36.25	Professional		$24.76	$28.10	$36.25
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $20.79 / $20.79	Professional		$20.79	$20.79	$20.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $36.11 / $114.68	Facility		$22.10	$36.11	$114.68
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.76 / $68.97 / $335.45	Facility		$25.76	$68.97	$335.45
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $38.61 / $59.73	Professional		$22.53	$38.61	$59.73
United Facility/Professional Professional Modifier Low / Median / High Price $11.80 / $15.46 / $41.27	Professional		$11.80	$15.46	$41.27
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.31 / $32.31 / $103.48	Facility		$32.31	$32.31	$103.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.76 / $31.56 / $37.29	Professional		$24.76	$31.56	$37.29