Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.92 / $46.04 / $92.81	Facility		$17.92	$46.04	$92.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.45 / $18.77 / $36.28	Professional		$15.45	$18.77	$36.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $20.81 / $54.11	Facility		$20.81	$20.81	$54.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $12.59 / $46.98	Professional		$9.93	$12.59	$46.98
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.49 / $20.81 / $20.81	Facility		$12.49	$20.81	$20.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.19 / $20.81 / $20.81	Professional		$15.19	$20.81	$20.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $43.84 / $212.67	Facility		$14.54	$43.84	$212.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.40 / $23.38 / $100.30	Professional		$15.40	$23.38	$100.30
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $27.05 / $332.00	Facility		$12.10	$27.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.49 / $38.08	Professional		$8.32	$12.49	$38.08
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.64 / $19.98 / $26.20	Professional		$16.64	$19.98	$26.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.86 / $52.19 / $82.44	Facility		$17.86	$52.19	$82.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $51.07 / $254.50	Facility		$19.91	$51.07	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.38 / $42.87	Professional		$16.60	$23.38	$42.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $12.49 / $32.26	Professional		$8.74	$12.49	$32.26
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.93 / $23.93 / $76.65	Facility		$23.93	$23.93	$76.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $23.26 / $27.62	Professional		$18.34	$23.26	$27.62