Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $62.88 / $104.20	Facility		$36.56	$62.88	$104.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.08 / $41.92 / $50.92	Professional		$31.08	$41.92	$50.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $95.06	Facility		$36.56	$36.56	$95.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $24.96 / $112.94	Professional		$18.05	$24.96	$112.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.94 / $36.56 / $36.56	Facility		$21.94	$36.56	$36.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $36.56 / $36.56	Professional		$26.69	$36.56	$36.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.54 / $74.20 / $490.90	Facility		$25.54	$74.20	$490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $49.28 / $285.57	Professional		$36.88	$49.28	$285.57
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $39.10 / $63.20 / $332.00	Facility		$39.10	$63.20	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $21.94 / $66.90	Professional		$14.62	$21.94	$66.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.72 / $46.10 / $74.94	Professional		$34.72	$46.10	$74.94
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.56 / $36.56 / $1,208.40	Facility		$36.56	$36.56	$1,208.40
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.50 / $89.40 / $555.00	Facility		$33.50	$89.40	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $51.55 / $140.00	Professional		$29.34	$51.55	$140.00
United Facility/Professional Professional Modifier Low / Median / High Price $15.36 / $21.94 / $64.67	Professional		$15.36	$21.94	$64.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $42.04 / $42.04 / $207.95	Facility		$42.04	$42.04	$207.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.56 / $51.00 / $85.55	Professional		$36.56	$51.00	$85.55