Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.06 / $26.91 / $64.75	Facility		$21.06	$26.91	$64.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.06 / $30.91 / $38.99	Professional		$21.06	$30.91	$38.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $63.08 / $123.68	Facility		$61.84	$63.08	$123.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $36.36 / $98.07	Professional		$36.36	$36.36	$98.07
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $47.91 / $51.52 / $51.52	Facility		$47.91	$51.52	$51.52
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $51.52 / $51.52 / $51.52	Professional		$51.52	$51.52	$51.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $48.99	Facility		$48.99	$48.99	$48.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.76 / $35.76 / $48.99	Professional		$35.76	$35.76	$48.99
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $61.84 / $139.13 / $332.00	Facility		$61.84	$139.13	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.93 / $46.38 / $111.31	Professional		$31.93	$46.38	$111.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.32 / $32.32 / $32.32	Facility		$32.32	$32.32	$32.32
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $37.19 / $44.34	Professional		$32.32	$37.19	$44.34
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.96 / $121.96 / $123.12	Facility		$121.96	$121.96	$123.12
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.16 / $50.16 / $50.16	Professional		$50.16	$50.16	$50.16
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $48.99 / $48.99 / $555.00	Facility		$48.99	$48.99	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $28.42 / $35.76 / $92.14	Professional		$28.42	$35.76	$92.14
United Facility/Professional Professional Modifier Low / Median / High Price $20.57 / $32.70 / $56.56	Professional		$20.57	$32.70	$56.56
Univera Facility/Professional Facility Modifier Low / Median / High Price $37.19 / $37.19 / $38.65	Facility		$37.19	$37.19	$38.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.32 / $37.19 / $39.51	Professional		$32.32	$37.19	$39.51