Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.84 / $26.65 / $57.94	Facility		$18.84	$26.65	$57.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.84 / $26.45 / $34.88	Professional		$18.84	$26.45	$34.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $56.45 / $110.68	Facility		$55.34	$56.45	$110.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.58 / $30.58 / $85.62	Professional		$30.58	$30.58	$85.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $42.87 / $46.10 / $46.10	Facility		$42.87	$46.10	$46.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $46.10 / $46.10 / $46.10	Professional		$46.10	$46.10	$46.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $33.22	Facility		$33.22	$33.22	$33.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $33.22	Professional		$24.25	$24.25	$33.22
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $55.34 / $124.52 / $332.00	Facility		$55.34	$124.52	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.65 / $41.51 / $99.61	Professional		$32.65	$41.51	$99.61
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.96 / $41.96 / $41.96	Facility		$41.96	$41.96	$41.96
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $34.33 / $46.10	Professional		$32.31	$34.33	$46.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $18.75 / $44.44	Facility		$18.39	$18.75	$44.44
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.88 / $44.88 / $44.88	Professional		$44.88	$44.88	$44.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $33.22 / $33.22 / $555.00	Facility		$33.22	$33.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $26.10 / $82.03	Professional		$24.25	$26.10	$82.03
United Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $28.45 / $49.82	Professional		$18.39	$28.45	$49.82
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.58 / $32.31 / $32.31	Facility		$29.58	$32.31	$32.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $32.31 / $32.31 / $41.96	Professional		$32.31	$32.31	$41.96