Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.01 / $240.20 / $873.50	Facility		$20.01	$240.20	$873.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.58 / $17.32 / $23.04	Professional		$13.58	$17.32	$23.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $11.81 / $20.37	Professional		$7.49	$11.81	$20.37
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.38 / $25.38 / $25.38	Facility		$25.38	$25.38	$25.38
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $25.38	Professional		$25.38	$25.38	$25.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.04 / $58.65 / $198.10	Facility		$19.04	$58.65	$198.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.27 / $23.95 / $95.10	Professional		$11.27	$23.95	$95.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $7.00 / $7.00 / $12.11	Facility		$7.00	$7.00	$12.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $26.03 / $26.03	Professional		$26.03	$26.03	$26.03
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $21.75 / $29.35	Professional		$14.54	$21.75	$29.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.53 / $104.53 / $393.53	Facility		$39.53	$104.53	$393.53
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.97 / $70.66 / $254.50	Facility		$18.97	$70.66	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $4.00 / $29.94	Professional		$4.00	$4.00	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.85 / $14.79 / $43.88	Professional		$10.85	$14.79	$43.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.14 / $29.43 / $29.43	Facility		$18.14	$29.43	$29.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.54 / $25.59 / $30.75	Professional		$14.54	$25.59	$30.75