Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $45.01 / $83.47	Facility		$17.76	$45.01	$83.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $20.00 / $22.94	Professional		$6.49	$20.00	$22.94
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 / $32.61	Professional		$4.83	$11.33	$32.61
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 $10.48 / $13.65 / $41.98	Professional		$10.48	$13.65	$41.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.89 / $11.89 / $11.89	Facility		$11.89	$11.89	$11.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $21.79 / $27.57	Professional		$11.89	$21.79	$27.57
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.46 / $57.53 / $102.19	Facility		$18.46	$57.53	$102.19
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
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 / $70.00	Professional		$15.28	$20.07	$70.00
United Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $11.47 / $34.40	Professional		$8.11	$11.47	$34.40
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