Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $32.46 / $70.61	Facility		$13.69	$32.46	$70.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $12.84 / $14.41	Professional		$9.36	$12.84	$14.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $37.47	Facility		$14.41	$14.41	$37.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.16 / $28.33	Professional		$5.89	$8.16	$28.33
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.65 / $14.41 / $14.41	Facility		$8.65	$14.41	$14.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.52 / $14.41 / $14.41	Professional		$10.52	$14.41	$14.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.07 / $30.45 / $137.19	Facility		$10.07	$30.45	$137.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $16.07 / $91.81	Professional		$10.63	$16.07	$91.81
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.50 / $18.73 / $332.00	Facility		$7.50	$18.73	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.59 / $8.65 / $26.37	Professional		$6.59	$8.65	$26.37
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $14.26 / $14.26	Facility		$14.26	$14.26	$14.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $14.26 / $18.21	Professional		$8.66	$14.26	$18.21
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $10.09 / $10.09	Professional		$10.09	$10.09	$10.09
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.01 / $40.00 / $83.41	Facility		$16.01	$40.00	$83.41
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.06 / $34.90 / $192.38	Facility		$14.06	$34.90	$192.38
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $16.07 / $29.68	Professional		$11.47	$16.07	$29.68
United Facility/Professional Professional Modifier Low / Median / High Price $6.05 / $8.65 / $21.16	Professional		$6.05	$8.65	$21.16
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.57 / $16.57 / $34.28	Facility		$16.57	$16.57	$34.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $13.83 / $29.04	Professional		$8.41	$13.83	$29.04