Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.13 / $87.60 / $132.10	Facility		$30.13	$87.60	$132.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $36.15 / $46.35	Professional		$10.30	$36.15	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $120.51	Facility		$46.35	$46.35	$120.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.18 / $18.54 / $63.04	Professional		$16.18	$18.54	$63.04
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Facility		$46.35	$46.35	$46.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $33.84 / $46.35 / $46.35	Professional		$33.84	$46.35	$46.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $93.99 / $120.44	Facility		$32.39	$93.99	$120.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $24.37 / $223.41	Professional		$24.37	$24.37	$223.41
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $60.26 / $332.00	Facility		$13.00	$60.26	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $27.81 / $86.67	Professional		$18.54	$27.81	$86.67
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $19.64 / $46.35	Professional		$12.18	$19.64	$46.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.61 / $50.10 / $203.47	Facility		$31.61	$50.10	$203.47
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $56.71 / $113.24 / $166.52	Facility		$56.71	$113.24	$166.52
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.37 / $34.76 / $95.48	Professional		$24.37	$34.76	$95.48
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.55 / $30.13	Facility		$9.77	$10.55	$30.13
United Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $19.47 / $68.08	Professional		$10.62	$19.47	$68.08
Univera Facility/Professional Facility Modifier Low / Median / High Price $52.01 / $52.01 / $52.01	Facility		$52.01	$52.01	$52.01
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.18 / $21.44 / $52.01	Professional		$12.18	$21.44	$52.01