Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $52.76 / $94.98	Facility		$19.50	$52.76	$94.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $20.45 / $34.40	Professional		$12.16	$20.45	$34.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.94 / $22.94 / $59.64	Facility		$22.94	$22.94	$59.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.83 / $11.33 / $32.99	Professional		$4.83	$11.33	$32.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $13.76 / $22.94 / $22.94	Facility		$13.76	$22.94	$22.94
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.75 / $22.94 / $22.94	Professional		$16.75	$22.94	$22.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $46.65 / $94.03	Facility		$16.03	$46.65	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $25.93 / $146.88	Professional		$17.13	$25.93	$146.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $32.11 / $332.00	Facility		$16.60	$32.11	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $13.65 / $41.98	Professional		$9.49	$13.65	$41.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.49 / $9.49 / $9.49	Facility		$9.49	$9.49	$9.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $21.79 / $27.57	Professional		$9.49	$21.79	$27.57
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $16.05	Professional		$16.05	$16.05	$16.05
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $55.86 / $106.59	Facility		$18.46	$55.86	$106.59
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.02 / $56.20 / $254.50	Facility		$21.02	$56.20	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $20.07 / $47.26	Professional		$15.28	$20.07	$47.26
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.01 / $35.56	Professional		$8.11	$11.01	$35.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $26.38 / $26.38 / $84.55	Facility		$26.38	$26.38	$84.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $24.05 / $30.46	Professional		$18.73	$24.05	$30.46