Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $35.01 / $63.14	Facility		$28.70	$35.01	$63.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $34.72	Professional		$29.29	$29.29	$34.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.43 / $23.43 / $29.29	Facility		$23.43	$23.43	$29.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.29 / $32.36	Professional		$26.92	$29.29	$32.36
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $27.67 / $29.05	Facility		$27.67	$27.67	$29.05
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $27.67 / $27.67 / $27.67	Professional		$27.67	$27.67	$27.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.06 / $30.91	Facility		$27.63	$29.06	$30.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Professional		$29.29	$29.29	$29.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.04 / $43.56 / $332.00	Facility		$29.04	$43.56	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $29.04 / $36.64	Professional		$29.04	$29.04	$36.64
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.85	Facility		$29.29	$29.29	$29.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.85 / $29.85	Professional		$29.29	$29.85	$29.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $36.36 / $36.36	Facility		$36.36	$36.36	$36.36
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $27.63 / $29.06 / $38.42	Facility		$27.63	$29.06	$38.42
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.29 / $33.15	Professional		$29.29	$29.29	$33.15
United Facility/Professional Facility Modifier Low / Median / High Price $29.29 / $29.29 / $29.29	Facility		$29.29	$29.29	$29.29
United Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $31.05 / $39.47	Professional		$29.29	$31.05	$39.47
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.85 / $29.85 / $29.85	Facility		$29.85	$29.85	$29.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $29.29 / $29.85 / $29.85	Professional		$29.29	$29.85	$29.85