Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.23 / $39.54 / $133.97	Facility		$19.23	$39.54	$133.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $19.50 / $27.88	Professional		$16.25	$19.50	$27.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $45.10 / $88.44	Facility		$44.22	$45.10	$88.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $32.40 / $76.11	Professional		$32.40	$32.40	$76.11
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $34.26 / $36.84 / $36.84	Facility		$34.26	$36.84	$36.84
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $36.84 / $36.84 / $36.84	Professional		$36.84	$36.84	$36.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $35.00	Facility		$29.97	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.55 / $25.55 / $35.00	Professional		$25.55	$25.55	$35.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $44.22 / $99.50 / $332.00	Facility		$44.22	$99.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.09 / $33.17 / $79.59	Professional		$26.09	$33.17	$79.59
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.53 / $31.53 / $31.53	Facility		$31.53	$31.53	$31.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $34.00 / $36.84	Professional		$31.53	$34.00	$36.84
Fidelis Facility/Professional Professional Modifier Low / Median / High Price $23.57 / $23.57 / $23.57	Professional		$23.57	$23.57	$23.57
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $35.86	Professional		$35.86	$35.86	$35.86
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $555.00	Facility		$29.97	$35.00	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $25.55 / $65.77	Professional		$20.32	$25.55	$65.77
United Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $26.53 / $40.45	Professional		$14.71	$26.53	$40.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.55 / $34.00 / $34.00	Facility		$29.55	$34.00	$34.00
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.53 / $34.00 / $34.00	Professional		$31.53	$34.00	$34.00