Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.21 / $66.27 / $116.70	Facility		$30.21	$66.27	$116.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $31.83 / $57.52	Professional		$26.05	$31.83	$57.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $41.68 / $108.37	Facility		$41.68	$41.68	$108.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $25.00 / $96.25	Professional		$17.32	$25.00	$96.25
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $25.01 / $41.68 / $41.68	Facility		$25.01	$41.68	$41.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.43 / $41.68 / $41.68	Professional		$30.43	$41.68	$41.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.79 / $101.31 / $377.22	Facility		$50.79	$101.31	$377.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.29 / $60.83 / $134.07	Professional		$26.29	$60.83	$134.07
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.10 / $54.18 / $332.00	Facility		$22.10	$54.18	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.18 / $43.48 / $76.27	Professional		$29.18	$43.48	$76.27
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.68 / $41.68 / $41.68	Facility		$41.68	$41.68	$41.68
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $41.68 / $57.66	Professional		$35.43	$41.68	$57.66
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.39 / $51.39 / $51.39	Facility		$51.39	$51.39	$51.39
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $40.64 / $101.31 / $419.14	Facility		$40.64	$101.31	$419.14
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $60.84 / $133.69	Professional		$28.16	$60.84	$133.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $25.01 / $64.59	Professional		$17.51	$25.01	$64.59
Univera Facility/Professional Facility Modifier Low / Median / High Price $47.93 / $47.93 / $129.29	Facility		$47.93	$47.93	$129.29
Univera Facility/Professional Professional Modifier Low / Median / High Price $35.43 / $46.59 / $110.76	Professional		$35.43	$46.59	$110.76