Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.71 / $44.95 / $79.20	Facility		$20.71	$44.95	$79.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.09 / $21.25 / $34.04	Professional		$18.09	$21.25	$34.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.37 / $24.37 / $63.36	Facility		$24.37	$24.37	$63.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $14.86 / $59.00	Professional		$12.04	$14.86	$59.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.62 / $24.37 / $24.37	Facility		$14.62	$24.37	$24.37
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.79 / $24.37 / $24.37	Professional		$17.79	$24.37	$24.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.03 / $51.48 / $251.63	Facility		$17.03	$51.48	$251.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $27.40 / $154.25	Professional		$18.22	$27.40	$154.25
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $34.03 / $332.00	Facility		$16.60	$34.03	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $14.62 / $44.60	Professional		$9.75	$14.62	$44.60
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.71 / $24.37 / $32.35	Professional		$20.71	$24.37	$32.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.05 / $29.89 / $68.02	Facility		$22.05	$29.89	$68.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.33 / $59.59 / $291.08	Facility		$22.33	$59.59	$291.08
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.37 / $27.40 / $50.20	Professional		$19.37	$27.40	$50.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.24 / $13.40 / $36.56	Professional		$10.24	$13.40	$36.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $28.03 / $28.03 / $89.79	Facility		$28.03	$28.03	$89.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $27.24 / $38.04	Professional		$21.48	$27.24	$38.04