Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $50.92 / $87.95	Facility		$23.68	$50.92	$87.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $20.81 / $30.86	Professional		$6.49	$20.81	$30.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.86 / $30.86 / $80.23	Facility		$30.86	$30.86	$80.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.36 / $18.67 / $33.28	Professional		$4.36	$18.67	$33.28
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $30.86 / $30.86	Facility		$18.52	$30.86	$30.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.53 / $30.86 / $30.86	Professional		$22.53	$30.86	$30.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $62.18 / $104.48	Facility		$21.56	$62.18	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.64 / $31.41 / $148.75	Professional		$17.64	$31.41	$148.75
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $41.52 / $332.00	Facility		$24.00	$41.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $18.36 / $56.47	Professional		$12.34	$18.36	$56.47
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 / $22.03 / $34.65	Professional		$9.49	$22.03	$34.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $105.21 / $110.81	Facility		$97.31	$105.21	$110.81
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.29 / $74.91 / $254.50	Facility		$27.29	$74.91	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $8.30 / $15.82 / $50.16	Professional		$8.30	$15.82	$50.16
United Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.97 / $45.33	Professional		$8.40	$16.97	$45.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.49 / $35.49 / $35.49	Facility		$35.49	$35.49	$35.49
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $28.31 / $37.09	Professional		$18.73	$28.31	$37.09