Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $41.86 / $72.53	Facility		$16.07	$41.86	$72.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.42 / $20.18 / $29.27	Professional		$10.42	$20.18	$29.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $25.45 / $66.17	Facility		$25.45	$25.45	$66.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $13.18 / $46.52	Professional		$10.18	$13.18	$46.52
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.27 / $25.45 / $25.45	Facility		$15.27	$25.45	$25.45
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $25.45 / $25.45	Professional		$18.57	$25.45	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $25.25 / $62.67	Facility		$13.49	$25.25	$62.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.25 / $36.65 / $122.67	Professional		$14.25	$36.65	$122.67
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.63 / $36.65 / $332.00	Facility		$22.63	$36.65	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $15.15 / $47.59	Professional		$10.18	$15.15	$47.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $15.42 / $15.42	Facility		$15.42	$15.42	$15.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $21.63 / $28.58	Professional		$15.42	$21.63	$28.58
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $12.34 / $12.34 / $12.34	Professional		$12.34	$12.34	$12.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.79 / $53.02 / $112.19	Facility		$16.79	$53.02	$112.19
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $53.76 / $555.00	Facility		$13.73	$53.76	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $24.31 / $52.43	Professional		$16.54	$24.31	$52.43
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $37.38	Professional		$10.69	$15.27	$37.38
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $35.97	Facility		$29.27	$29.27	$35.97
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.94 / $24.18 / $30.59	Professional		$15.94	$24.18	$30.59