Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $2,589.81 / $7,344.69	Facility		$29.37	$2,589.81	$7,344.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $39.47 / $3,837.65	Professional		$29.37	$39.47	$3,837.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.50 / $23.50 / $29.38	Facility		$23.50	$23.50	$29.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.19 / $29.38 / $31.96	Professional		$24.19	$29.38	$31.96
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.21 / $21.21 / $22.27	Facility		$21.21	$21.21	$22.27
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.21 / $21.21 / $21.21	Professional		$21.21	$21.21	$21.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $27.72 / $28.24	Facility		$21.32	$27.72	$28.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Professional		$29.38	$29.38	$29.38
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $27.72 / $41.58 / $332.00	Facility		$27.72	$41.58	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $39.76	Professional		$29.38	$29.38	$39.76
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.93	Facility		$29.38	$29.38	$29.93
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $29.38 / $29.93	Professional		$29.38	$29.38	$29.93
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.88 / $34.65 / $45.72	Facility		$31.88	$34.65	$45.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.32 / $27.72 / $555.00	Facility		$21.32	$27.72	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $26.37 / $29.38 / $36.54	Professional		$26.37	$29.38	$36.54
United Facility/Professional Facility Modifier Low / Median / High Price $29.38 / $29.38 / $29.38	Facility		$29.38	$29.38	$29.38
United Facility/Professional Professional Modifier Low / Median / High Price $29.38 / $31.14 / $39.99	Professional		$29.38	$31.14	$39.99
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.93 / $29.93 / $29.93	Facility		$29.93	$29.93	$29.93
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.66 / $29.38 / $29.93	Professional		$14.66	$29.38	$29.93