Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.10 / $392.18 / $973.08	Facility		$34.10	$392.18	$973.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.71 / $23.94 / $35.40	Professional		$17.71	$23.94	$35.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $18.29 / $30.54	Professional		$11.57	$18.29	$30.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $4.61 / $20.58 / $20.58	Facility		$4.61	$20.58	$20.58
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $5.61 / $20.58 / $20.58	Professional		$5.61	$20.58	$20.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $90.45 / $276.54	Facility		$29.35	$90.45	$276.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $36.76 / $146.58	Professional		$17.39	$36.76	$146.58
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $48.87 / $332.00	Facility		$5.00	$48.87	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $22.18 / $40.17	Professional		$14.24	$22.18	$40.17
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.24 / $14.24 / $14.24	Facility		$14.24	$14.24	$14.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $27.41 / $41.40	Professional		$14.24	$27.41	$41.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $306.72 / $711.84	Facility		$16.98	$306.72	$711.84
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.30 / $14.30 / $14.46	Professional		$14.30	$14.30	$14.46
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $108.97 / $307.27	Facility		$24.40	$108.97	$307.27
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $29.76 / $45.95	Professional		$17.57	$29.76	$45.95
United Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $21.89 / $66.56	Professional		$12.12	$21.89	$66.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.40 / $45.41 / $45.41	Facility		$29.40	$45.41	$45.41
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $33.56 / $47.46	Professional		$21.00	$33.56	$47.46