Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.78 / $114.30 / $241.59	Facility		$43.78	$114.30	$241.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.75 / $45.42 / $46.10	Professional		$37.75	$45.42	$46.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.86 / $50.86 / $132.24	Facility		$50.86	$50.86	$132.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.48 / $26.34 / $108.03	Professional		$22.48	$26.34	$108.03
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.52 / $50.86 / $50.86	Facility		$30.52	$50.86	$50.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $37.13 / $50.86 / $50.86	Professional		$37.13	$50.86	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.54 / $103.16 / $521.15	Facility		$35.54	$103.16	$521.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.74 / $57.35 / $326.83	Professional		$37.74	$57.35	$326.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.10 / $66.12 / $332.00	Facility		$31.10	$66.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.34 / $30.52 / $93.07	Professional		$20.34	$30.52	$93.07
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $48.32 / $61.13	Professional		$26.22	$48.32	$61.13
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $33.06	Professional		$33.06	$33.06	$33.06
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.90 / $77.20 / $226.57	Facility		$33.90	$77.20	$226.57
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $124.29 / $597.00	Facility		$46.61	$124.29	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $40.52 / $69.90 / $123.25	Professional		$40.52	$69.90	$123.25
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.52 / $80.15	Professional		$21.36	$30.52	$80.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $58.49 / $58.49 / $106.94	Facility		$58.49	$58.49	$106.94
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $48.83 / $106.94	Professional		$26.22	$48.83	$106.94