Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.67 / $29.74 / $69.81	Facility		$21.67	$29.74	$69.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $23.22 / $44.16	Professional		$12.50	$23.22	$44.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $18.57 / $23.21	Facility		$18.57	$18.57	$23.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $20.90 / $26.49	Professional		$18.00	$20.90	$26.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Facility		$16.72	$16.72	$16.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.72 / $16.72 / $16.72	Professional		$16.72	$16.72	$16.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.16 / $20.76 / $22.95	Facility		$20.16	$20.76	$22.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.95 / $22.95 / $22.95	Professional		$22.95	$22.95	$22.95
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $33.38 / $332.00	Facility		$22.00	$33.38	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $30.00	Professional		$22.00	$22.00	$30.00
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.67 / $12.67 / $12.67	Facility		$12.67	$12.67	$12.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $15.20 / $21.51	Professional		$12.67	$15.20	$21.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $22.13 / $40.22	Facility		$18.43	$22.13	$40.22
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $25.80 / $26.29	Professional		$25.80	$25.80	$26.29
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.76 / $20.76 / $597.00	Facility		$20.76	$20.76	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $22.35 / $22.95	Professional		$15.00	$22.35	$22.95
United Facility/Professional Professional Modifier Low / Median / High Price $20.87 / $24.55 / $30.98	Professional		$20.87	$24.55	$30.98
Univera Facility/Professional Facility Modifier Low / Median / High Price $13.91 / $21.51 / $21.51	Facility		$13.91	$21.51	$21.51
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $13.91 / $23.22	Professional		$11.25	$13.91	$23.22