Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.45 / $30.77 / $55.15	Facility		$16.45	$30.77	$55.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.37 / $16.45 / $25.46	Professional		$14.37	$16.45	$25.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $50.31	Facility		$19.35	$19.35	$50.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $11.70 / $43.69	Professional		$9.24	$11.70	$43.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $19.35 / $19.35	Facility		$11.61	$19.35	$19.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.35 / $19.35	Professional		$14.13	$19.35	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.52 / $40.89 / $197.67	Facility		$13.52	$40.89	$197.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.32 / $21.92 / $124.85	Professional		$14.32	$21.92	$124.85
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $25.16 / $332.00	Facility		$8.10	$25.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $11.61 / $35.40	Professional		$8.84	$11.61	$35.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $19.35 / $19.35	Facility		$19.35	$19.35	$19.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $19.35 / $24.96	Professional		$17.05	$19.35	$24.96
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.77 / $12.77 / $73.20	Facility		$12.77	$12.77	$73.20
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.87 / $46.82 / $254.50	Facility		$18.87	$46.82	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $23.27 / $39.86	Professional		$15.42	$23.27	$39.86
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.61 / $28.42	Professional		$8.13	$11.61	$28.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.25 / $22.25 / $71.33	Facility		$22.25	$22.25	$71.33
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.05 / $20.93 / $25.70	Professional		$17.05	$20.93	$25.70