Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.35 / $37.83 / $93.79	Facility		$25.35	$37.83	$93.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.26 / $25.44 / $76.62	Professional		$19.26	$25.44	$76.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.89 / $22.08 / $49.82	Professional		$16.89	$22.08	$49.82
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $30.89 / $30.89 / $30.89	Facility		$30.89	$30.89	$30.89
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $30.89 / $30.89	Professional		$30.89	$30.89	$30.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $27.09 / $273.00	Facility		$23.94	$27.09	$273.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.94 / $33.88 / $80.20	Professional		$20.94	$33.88	$80.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.00 / $36.04 / $319.00	Facility		$22.00	$36.04	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.50 / $24.11 / $38.63	Professional		$18.50	$24.11	$38.63
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.70 / $19.70 / $19.70	Facility		$19.70	$19.70	$19.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $24.20 / $42.54	Professional		$16.50	$24.20	$42.54
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $19.87 / $20.46 / $24.56	Professional		$19.87	$20.46	$24.56
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Professional		$28.89	$28.89	$28.89
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.94 / $273.00 / $597.00	Facility		$23.94	$273.00	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.33 / $31.22 / $67.06	Professional		$22.33	$31.22	$67.06
United Facility/Professional Professional Modifier Low / Median / High Price $20.36 / $26.66 / $54.65	Professional		$20.36	$26.66	$54.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.18 / $29.18 / $89.15	Facility		$29.18	$29.18	$89.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $28.47 / $53.89	Professional		$16.50	$28.47	$53.89