Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $56.83 / $101.86	Facility		$25.02	$56.83	$101.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.88 / $24.15 / $39.09	Professional		$19.88	$24.15	$39.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.74 / $35.74 / $92.92	Facility		$35.74	$35.74	$92.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $19.01 / $63.94	Professional		$14.30	$19.01	$63.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.44 / $35.74 / $35.74	Facility		$21.44	$35.74	$35.74
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $35.74 / $35.74	Professional		$26.09	$35.74	$35.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.97 / $72.08 / $287.75	Facility		$24.97	$72.08	$287.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $36.15 / $172.27	Professional		$20.59	$36.15	$172.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $25.00 / $50.04 / $332.00	Facility		$25.00	$50.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $21.44 / $65.40	Professional		$16.32	$21.44	$65.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Facility		$23.40	$23.40	$23.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $29.89 / $40.14	Professional		$23.40	$29.89	$40.14
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $18.72 / $18.72 / $18.72	Professional		$18.72	$18.72	$18.72
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.33 / $92.33 / $92.33	Facility		$92.33	$92.33	$92.33
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.83 / $86.84 / $319.72	Facility		$31.83	$86.84	$319.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.35 / $36.00 / $58.61	Professional		$21.35	$36.00	$58.61
United Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $32.17 / $35.74	Facility		$32.17	$32.17	$35.74
United Facility/Professional Professional Modifier Low / Median / High Price $15.01 / $21.00 / $52.49	Professional		$15.01	$21.00	$52.49
Univera Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $41.10 / $98.63	Facility		$41.10	$41.10	$98.63
Univera Facility/Professional Professional Modifier Low / Median / High Price $24.18 / $31.80 / $42.96	Professional		$24.18	$31.80	$42.96