Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.39 / $39.29 / $148.88	Facility		$33.39	$39.29	$148.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.19 / $20.75 / $30.75	Professional		$17.19	$20.75	$30.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.21 / $23.74 / $42.54	Professional		$18.21	$23.74	$42.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.95 / $26.95 / $26.95	Facility		$26.95	$26.95	$26.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $26.95 / $32.20	Professional		$26.95	$26.95	$32.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $25.50 / $30.26	Facility		$24.36	$25.50	$30.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $25.06 / $69.04	Professional		$17.07	$25.06	$69.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $29.42 / $44.40	Professional		$24.71	$29.42	$44.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $20.46	Facility		$20.46	$20.46	$20.46
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.35 / $20.46 / $40.32	Professional		$17.35	$20.46	$40.32
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.62 / $27.62 / $27.62	Facility		$27.62	$27.62	$27.62
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $25.00 / $25.00	Professional		$24.73	$25.00	$25.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.36 / $30.26 / $597.00	Facility		$24.36	$30.26	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $25.65 / $64.23	Professional		$17.61	$25.65	$64.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.06 / $21.85 / $45.05	Professional		$14.06	$21.85	$45.05
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.46 / $20.46 / $20.46	Facility		$20.46	$20.46	$20.46
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $23.48 / $40.32	Professional		$17.89	$23.48	$40.32