Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.83 / $55.79 / $103.75	Facility		$29.83	$55.79	$103.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $29.83 / $54.74	Professional		$26.05	$29.83	$54.74
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 $17.32 / $24.04 / $94.39	Professional		$17.32	$24.04	$94.39
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 $43.10 / $85.98 / $377.22	Facility		$43.10	$85.98	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $56.33 / $133.69	Professional		$26.03	$56.33	$133.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $45.62 / $332.00	Facility		$22.10	$45.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.61 / $65.62	Professional		$24.56	$36.61	$65.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $35.09 / $35.09	Facility		$35.09	$35.09	$35.09
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $35.09 / $57.66	Professional		$33.34	$35.09	$57.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $156.31 / $156.31 / $156.31	Facility		$156.31	$156.31	$156.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.22 / $85.98 / $419.14	Facility		$34.22	$85.98	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $55.96 / $113.71	Professional		$28.16	$55.96	$113.71
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $73.81	Professional		$14.74	$21.05	$73.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $129.29	Facility		$40.35	$40.35	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $40.35 / $93.25	Professional		$33.34	$40.35	$93.25