Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.10 / $36.06 / $1,089.94	Facility		$18.10	$36.06	$1,089.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.28 / $24.87	Professional		$18.10	$18.28	$24.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.49 / $14.49 / $18.11	Facility		$14.49	$14.49	$18.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $18.11 / $24.68	Professional		$17.18	$18.11	$24.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.83 / $15.83 / $16.62	Facility		$15.83	$15.83	$16.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $15.83 / $15.83	Professional		$15.83	$15.83	$15.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $17.07 / $18.11	Facility		$15.99	$17.07	$18.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.11	Professional		$18.11	$18.11	$18.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $25.62 / $332.00	Facility		$17.07	$25.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $19.64 / $23.40	Professional		$19.64	$19.64	$23.40
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.11 / $18.11 / $18.79	Facility		$18.11	$18.11	$18.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $18.79	Professional		$18.11	$18.11	$18.79
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.20 / $20.20 / $20.72	Facility		$20.20	$20.20	$20.72
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.99 / $17.07 / $555.00	Facility		$15.99	$17.07	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $18.11 / $25.11	Professional		$17.39	$18.11	$25.11
United Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.11 / $24.45	Professional		$18.11	$18.11	$24.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.79 / $18.79 / $18.79	Facility		$18.79	$18.79	$18.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.67 / $18.11 / $18.79	Professional		$12.67	$18.11	$18.79