Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $71.95 / $125.02	Facility		$29.82	$71.95	$125.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $31.83 / $79.18	Professional		$22.81	$31.83	$79.18
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 / $26.00 / $94.39	Professional		$17.32	$26.00	$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 $29.07 / $52.60 / $113.71	Professional		$29.07	$52.60	$113.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $3.81 / $45.62 / $332.00	Facility		$3.81	$45.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.64 / $36.61 / $65.62	Professional		$21.64	$36.61	$65.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.64 / $33.34 / $62.58	Professional		$27.64	$33.34	$62.58
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.38 / $104.86 / $170.57	Facility		$23.38	$104.86	$170.57
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 $29.07 / $54.39 / $113.71	Professional		$29.07	$54.39	$113.71
United Facility/Professional Professional Modifier Low / Median / High Price $18.64 / $22.30 / $60.39	Professional		$18.64	$22.30	$60.39
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 $27.64 / $35.09 / $93.25	Professional		$27.64	$35.09	$93.25