Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.82 / $81.76 / $349.30	Facility		$29.82	$81.76	$349.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.05 / $61.18 / $147.38	Professional		$26.05	$61.18	$147.38
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 / $36.84 / $65.62	Professional		$24.56	$36.84	$65.62
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.07 / $33.34 / $62.58	Professional		$28.07	$33.34	$62.58
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Professional		$24.56	$24.56	$24.56
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $68.45 / $161.58	Facility		$25.70	$68.45	$161.58
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 / $59.05	Professional		$14.74	$21.05	$59.05
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 $29.83 / $36.79 / $101.36	Professional		$29.83	$36.79	$101.36