Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.07 / $80.00 / $140.33	Facility		$20.07	$80.00	$140.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $31.18 / $40.39	Professional		$21.61	$31.18	$40.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $131.00 / $131.00 / $145.00	Professional	25	$131.00	$131.00	$145.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $32.29 / $46.39	Professional		$26.50	$32.29	$46.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.31 / $46.31 / $46.31	Facility		$46.31	$46.31	$46.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $46.31 / $50.61	Professional		$46.31	$46.31	$50.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $42.61	Facility		$42.61	$42.61	$42.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.95 / $30.95 / $55.34	Professional		$30.95	$30.95	$55.34
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $11.06 / $319.00	Facility		$11.06	$11.06	$319.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $48.38 / $70.84	Professional		$36.21	$48.38	$70.84
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $32.65	Facility		$30.77	$30.77	$32.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $33.76 / $70.11	Professional		$28.15	$33.76	$70.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.24 / $30.24 / $30.24	Facility		$30.24	$30.24	$30.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $42.61 / $42.61 / $555.00	Facility		$42.61	$42.61	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.80 / $34.94 / $86.07	Professional		$15.80	$34.94	$86.07
Optum Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $41.02 / $83.22	Professional		$29.45	$41.02	$83.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $32.65 / $34.15 / $34.15	Facility		$32.65	$34.15	$34.15
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $34.15 / $73.38	Professional		$30.62	$34.15	$73.38