Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.67 / $36.72 / $148.66	Facility		$31.67	$36.72	$148.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $36.92 / $96.57	Professional		$30.00	$36.92	$96.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.34 / $25.34 / $31.67	Facility		$25.34	$25.34	$31.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $28.47 / $49.51	Professional		$26.91	$28.47	$49.51
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.76 / $28.76 / $28.76	Facility		$28.76	$28.76	$28.76
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.76 / $28.76 / $28.76	Professional		$28.76	$28.76	$28.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $29.57 / $32.76	Facility		$28.71	$29.57	$32.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.76 / $32.76 / $32.76	Professional		$32.76	$32.76	$32.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $31.46 / $50.80 / $332.00	Facility		$31.46	$50.80	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.46 / $31.46 / $40.94	Professional		$31.46	$31.46	$40.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.71 / $30.71 / $30.71	Facility		$30.71	$30.71	$30.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.71 / $30.71 / $31.67	Professional		$30.71	$30.71	$31.67
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.13 / $35.86 / $83.61	Facility		$34.13	$35.86	$83.61
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $35.86	Professional		$35.86	$35.86	$35.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.57 / $29.57 / $597.00	Facility		$29.57	$29.57	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $35.00 / $44.62	Professional		$32.59	$35.00	$44.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.26 / $34.95 / $52.32	Professional		$29.26	$34.95	$52.32
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.44 / $30.71 / $30.71	Facility		$22.44	$30.71	$30.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $22.44 / $31.67	Professional		$22.44	$22.44	$31.67