Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.89 / $24.15 / $58.10	Facility		$18.89	$24.15	$58.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.89 / $24.15 / $34.97	Professional		$18.89	$24.15	$34.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $56.60 / $110.98	Facility		$55.49	$56.60	$110.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.25 / $32.25 / $87.99	Professional		$32.25	$32.25	$87.99
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.99 / $46.23 / $46.23	Facility		$42.99	$46.23	$46.23
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $46.23 / $46.23	Professional		$46.23	$46.23	$46.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $39.15	Facility		$39.15	$39.15	$39.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $28.59 / $39.15	Professional		$28.59	$28.59	$39.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.49 / $124.85 / $332.00	Facility		$55.49	$124.85	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $39.95 / $99.88	Professional		$31.41	$39.95	$99.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Facility		$39.26	$39.26	$39.26
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $35.44 / $46.23	Professional		$33.36	$35.44	$46.23
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.23 / $108.23 / $109.26	Facility		$108.23	$108.23	$109.26
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.01 / $45.01 / $45.01	Professional		$45.01	$45.01	$45.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.15 / $39.15 / $555.00	Facility		$39.15	$39.15	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $25.75 / $28.59 / $82.68	Professional		$25.75	$28.59	$82.68
United Facility/Professional Facility Modifier Low / Median / High Price $51.23 / $51.23 / $51.23	Facility		$51.23	$51.23	$51.23
United Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $28.83 / $50.75	Professional		$18.46	$28.83	$50.75
Univera Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $33.36 / $34.67	Facility		$33.36	$33.36	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $39.26	Professional		$33.36	$33.36	$39.26