Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.49 / $84.99 / $151.38	Facility		$32.49	$84.99	$151.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $33.70 / $35.63	Professional		$28.01	$33.70	$35.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $37.72 / $98.10	Facility		$37.72	$37.72	$98.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $22.63 / $85.15	Professional		$16.68	$22.63	$85.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $37.72 / $37.72	Facility		$22.64	$37.72	$37.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $37.72 / $37.72	Professional		$27.54	$37.72	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.37 / $79.69 / $386.39	Facility		$26.37	$79.69	$386.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $42.37 / $181.86	Professional		$27.98	$42.37	$181.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.00 / $49.05 / $332.00	Facility		$11.00	$49.05	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $22.45 / $69.05	Professional		$16.14	$22.45	$69.05
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.40 / $23.40 / $23.40	Facility		$23.40	$23.40	$23.40
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $35.84 / $45.35	Professional		$23.40	$35.84	$45.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.73 / $79.23 / $166.40	Facility		$25.73	$79.23	$166.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.57 / $91.95 / $450.46	Facility		$34.57	$91.95	$450.46
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $30.05 / $51.85 / $77.72	Professional		$30.05	$51.85	$77.72
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.00 / $56.53	Professional		$15.85	$21.00	$56.53
Univera Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $43.39 / $102.42	Facility		$43.39	$43.39	$102.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.80 / $39.54 / $50.07	Professional		$30.80	$39.54	$50.07