Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $58.29 / $114.82	Facility		$35.33	$58.29	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $45.23 / $85.60	Professional		$35.33	$45.23	$85.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $24.30 / $27.13	Professional		$14.13	$24.30	$27.13
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $35.33 / $35.33	Facility		$21.20	$35.33	$35.33
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $35.33 / $35.33	Professional		$35.33	$35.33	$35.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.26 / $45.23 / $95.97	Facility		$24.26	$45.23	$95.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.55 / $40.36 / $57.03	Professional		$22.55	$40.36	$57.03
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $53.00 / $332.00	Facility		$35.33	$53.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $21.20 / $64.65	Professional		$16.14	$21.20	$64.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.14 / $27.14 / $27.14	Facility		$27.14	$27.14	$27.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.14 / $33.56 / $44.93	Professional		$27.14	$33.56	$44.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.43 / $31.17 / $95.70	Facility		$28.43	$31.17	$95.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.91 / $86.77 / $555.00	Facility		$19.91	$86.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $45.23 / $66.48	Professional		$23.43	$45.23	$66.48
United Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $25.81 / $66.56	Professional		$18.04	$25.81	$66.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $40.63 / $60.64	Facility		$40.63	$40.63	$60.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $38.32 / $58.35	Professional		$27.13	$38.32	$58.35