Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $64.33 / $156.50	Facility		$30.21	$64.33	$156.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $26.30 / $41.97	Professional		$25.17	$26.30	$41.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $91.23	Facility		$35.09	$35.09	$91.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.71 / $17.89 / $86.66	Professional		$11.71	$17.89	$86.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.05 / $35.09 / $35.09	Facility		$21.05	$35.09	$35.09
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $35.09 / $35.09	Professional		$25.62	$35.09	$35.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $71.36 / $91.45	Facility		$24.52	$71.36	$91.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.77 / $46.90 / $113.79	Professional		$20.77	$46.90	$113.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.10 / $45.62 / $332.00	Facility		$12.10	$45.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $28.07 / $64.20	Professional		$16.14	$28.07	$64.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $35.09 / $50.41	Professional		$29.83	$35.09	$50.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $65.48 / $174.60	Facility		$24.80	$65.48	$174.60
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.38 / $23.38 / $23.38	Professional		$23.38	$23.38	$23.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $76.45 / $254.50	Facility		$32.15	$76.45	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.66 / $41.40 / $106.94	Professional		$23.66	$41.40	$106.94
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $55.09	Professional		$14.74	$21.05	$55.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $118.05	Facility		$40.35	$40.35	$118.05
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.83 / $36.79 / $57.66	Professional		$29.83	$36.79	$57.66