Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.65 / $42.79 / $75.34	Facility		$20.65	$42.79	$75.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.10 / $22.73 / $61.23	Professional		$14.10	$22.73	$61.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.91 / $26.91 / $69.97	Facility		$26.91	$26.91	$69.97
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $20.66 / $58.63	Professional		$10.76	$20.66	$58.63
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.14 / $26.91 / $26.91	Facility		$16.14	$26.91	$26.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $26.91 / $26.91	Professional		$19.64	$26.91	$26.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.01 / $65.56 / $204.21	Facility		$33.01	$65.56	$204.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.11 / $36.53 / $86.69	Professional		$16.11	$36.53	$86.69
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.60 / $34.97 / $332.00	Facility		$10.60	$34.97	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $28.08 / $49.25	Professional		$18.84	$28.08	$49.25
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Facility		$5.05	$5.05	$5.05
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $25.56 / $33.43	Professional		$5.05	$25.56	$33.43
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.31 / $85.60 / $87.25	Facility		$41.31	$85.60	$87.25
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.66 / $65.56 / $254.50	Facility		$24.66	$65.56	$254.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $34.71 / $82.00	Professional		$15.00	$34.71	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $16.14 / $45.25	Professional		$11.95	$16.14	$45.25
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.60 / $29.60 / $69.95	Facility		$29.60	$29.60	$69.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $6.45 / $26.91 / $69.95	Professional		$6.45	$26.91	$69.95