Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.78 / $61.39 / $143.71	Facility		$28.78	$61.39	$143.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.14 / $30.48 / $45.02	Professional		$25.14	$30.48	$45.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $33.86 / $88.04	Facility		$33.86	$33.86	$88.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $20.48 / $76.43	Professional		$16.14	$20.48	$76.43
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $33.86 / $33.86	Facility		$20.32	$33.86	$33.86
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.72 / $33.86 / $33.86	Professional		$24.72	$33.86	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.66 / $68.53 / $347.43	Facility		$23.66	$68.53	$347.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.16 / $37.99 / $295.64	Professional		$25.16	$37.99	$295.64
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $50.79 / $332.00	Facility		$30.00	$50.79	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.54 / $20.14 / $61.96	Professional		$13.54	$20.14	$61.96
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 / $32.17 / $40.70	Professional		$6.83	$32.17	$40.70
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $43.05 / $156.97	Facility		$14.65	$43.05	$156.97
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.03 / $82.57 / $404.39	Facility		$31.03	$82.57	$404.39
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $27.08 / $39.24 / $69.75	Professional		$27.08	$39.24	$69.75
United Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.32 / $50.79	Professional		$14.22	$20.32	$50.79
Univera Facility/Professional Facility Modifier Low / Median / High Price $38.94 / $38.94 / $124.73	Facility		$38.94	$38.94	$124.73
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $35.50 / $44.94	Professional		$8.72	$35.50	$44.94