Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.69 / $55.05 / $115.80	Facility		$25.69	$55.05	$115.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.63 / $28.49 / $60.04	Professional		$18.63	$28.49	$60.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $33.47 / $87.02	Facility		$33.47	$33.47	$87.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $20.07 / $71.95	Professional		$14.22	$20.07	$71.95
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $33.47 / $33.47	Facility		$20.07	$33.47	$33.47
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.43 / $33.47 / $33.47	Professional		$24.43	$33.47	$33.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.05 / $81.73 / $269.72	Facility		$41.05	$81.73	$269.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $45.43 / $108.08	Professional		$20.53	$45.43	$108.08
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $43.51 / $332.00	Facility		$19.60	$43.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.43 / $34.92 / $61.25	Professional		$23.43	$34.92	$61.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.10 / $10.10 / $10.10	Facility		$10.10	$10.10	$10.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.10 / $31.80 / $44.15	Professional		$10.10	$31.80	$44.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $114.11 / $121.59	Facility		$23.16	$114.11	$121.59
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.31 / $22.31 / $22.31	Professional		$22.31	$22.31	$22.31
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.68 / $81.73 / $299.69	Facility		$30.68	$81.73	$299.69
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.82 / $51.23 / $104.04	Professional		$20.82	$51.23	$104.04
United Facility/Professional Professional Modifier Low / Median / High Price $15.06 / $20.07 / $54.09	Professional		$15.06	$20.07	$54.09
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.82 / $36.82 / $92.48	Facility		$36.82	$36.82	$92.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $33.47 / $88.94	Professional		$12.90	$33.47	$88.94