Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.68 / $70.18 / $156.50	Facility		$28.68	$70.18	$156.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $31.58 / $45.62	Professional		$18.60	$31.58	$45.62
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 $14.04 / $17.69 / $75.95	Professional		$14.04	$17.69	$75.95
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 $34.90 / $71.36 / $91.45	Facility		$34.90	$71.36	$91.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.96 / $63.13 / $169.13	Professional		$20.96	$63.13	$169.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.01 / $48.46 / $332.00	Facility		$28.01	$48.46	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.61 / $64.20	Professional		$24.56	$36.61	$64.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.64 / $21.64 / $21.64	Facility		$21.64	$21.64	$21.64
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $33.34 / $42.18	Professional		$21.64	$33.34	$42.18
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.87 / $38.60 / $156.31	Facility		$13.87	$38.60	$156.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $85.98 / $254.50	Facility		$32.15	$85.98	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $45.62 / $105.27	Professional		$22.81	$45.62	$105.27
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $53.18	Professional		$14.74	$21.05	$53.18
Univera Facility/Professional Facility Modifier Low / Median / High Price $40.35 / $40.35 / $49.07	Facility		$40.35	$40.35	$49.07
Univera Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $35.09 / $49.07	Professional		$27.64	$35.09	$49.07