Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $33.25 / $55.75	Facility		$16.62	$33.25	$55.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $17.75 / $116.48	Professional		$14.52	$17.75	$116.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $19.55 / $50.86	Facility		$19.55	$19.55	$50.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $11.73 / $44.15	Professional		$8.65	$11.73	$44.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $19.55 / $19.55	Facility		$11.74	$19.55	$19.55
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.28 / $19.55 / $19.55	Professional		$14.28	$19.55	$19.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.67 / $41.31 / $200.70	Facility		$13.67	$41.31	$200.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $21.92 / $94.28	Professional		$14.53	$21.92	$94.28
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $25.43 / $332.00	Facility		$6.70	$25.43	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $11.64 / $35.79	Professional		$7.82	$11.64	$35.79
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.83 / $6.83 / $6.83	Facility		$6.83	$6.83	$6.83
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $18.57 / $23.51	Professional		$6.83	$18.57	$23.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.69 / $16.69 / $16.69	Facility		$16.69	$16.69	$16.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $47.68 / $254.50	Facility		$19.07	$47.68	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $17.05 / $40.29	Professional		$6.42	$17.05	$40.29
United Facility/Professional Facility Modifier Low / Median / High Price $17.60 / $17.60 / $19.55	Facility		$17.60	$17.60	$19.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.22 / $11.74 / $29.22	Professional		$8.22	$11.74	$29.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.49 / $22.49 / $53.07	Facility		$22.49	$22.49	$53.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $20.51 / $25.95	Professional		$8.72	$20.51	$25.95