Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $63.10 / $72.44	Facility		$51.29	$63.10	$72.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $40.74 / $66.07	Professional		$23.99	$40.74	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.79 / $45.71 / $63.10	Professional		$0.79	$45.71	$63.10
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $39.81	Facility		$39.81	$39.81	$39.81
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $48.98	Professional		$39.81	$39.81	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $120.23	Facility		$50.12	$50.12	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $83.18	Professional		$28.18	$40.74	$83.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $123.03	Facility		$30.20	$30.20	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $79.43	Professional		$40.74	$56.23	$79.43
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $29.51 / $33.88	Facility		$23.99	$29.51	$33.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $77.62	Professional		$24.55	$37.15	$77.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $31.62	Professional		$29.51	$29.51	$31.62
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $50.12 / $134.90	Professional		$39.81	$50.12	$134.90
Optum Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $39.81 / $54.95	Professional		$32.36	$39.81	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Facility		$436.52	$436.52	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.90 / $75.86	Professional		$26.30	$38.90	$75.86
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $30.90 / $35.48	Facility		$23.99	$30.90	$35.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $75.86	Professional		$26.30	$38.02	$75.86