Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.40 / $84.06 / $239.01	Facility		$36.40	$84.06	$239.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.80 / $38.54 / $49.54	Professional		$31.80	$38.54	$49.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $111.38	Facility		$42.84	$42.84	$111.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.15 / $28.98 / $115.23	Professional		$21.15	$28.98	$115.23
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.84 / $42.84	Facility		$25.70	$42.84	$42.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $42.84 / $42.84	Professional		$31.27	$42.84	$42.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.49 / $104.72 / $460.33	Facility		$52.49	$104.72	$460.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.88 / $68.97 / $163.19	Professional		$31.88	$68.97	$163.19
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.10 / $55.69 / $332.00	Facility		$27.10	$55.69	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $44.69 / $80.11	Professional		$29.99	$44.69	$80.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $42.84 / $42.84	Facility		$42.84	$42.84	$42.84
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $42.84 / $76.41	Professional		$40.70	$42.84	$76.41
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.99 / $70.43 / $206.44	Facility		$30.99	$70.43	$206.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $28.55 / $28.55	Professional		$28.55	$28.55	$28.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $41.78 / $104.72 / $511.48	Facility		$41.78	$104.72	$511.48
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $77.50 / $138.47	Professional		$34.36	$77.50	$138.47
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $25.70 / $78.40	Professional		$17.98	$25.70	$78.40
Univera Facility/Professional Facility Modifier Low / Median / High Price $49.26 / $49.26 / $116.26	Facility		$49.26	$49.26	$116.26
Univera Facility/Professional Professional Modifier Low / Median / High Price $40.70 / $49.26 / $113.84	Professional		$40.70	$49.26	$113.84