Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $30.15 / $168.97	Facility		$21.23	$30.15	$168.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $22.08 / $72.80	Professional		$21.23	$22.08	$72.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $21.23	Facility		$16.98	$16.98	$21.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $40.14	Professional		$21.23	$21.23	$40.14
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.98 / $20.98 / $22.03	Facility		$20.98	$20.98	$22.03
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $20.98 / $20.98	Professional		$20.98	$20.98	$20.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.16 / $23.86 / $28.21	Facility		$23.16	$23.86	$28.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.21 / $28.21 / $28.21	Professional		$28.21	$28.21	$28.21
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.03 / $33.04 / $332.00	Facility		$20.03	$33.04	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $20.03 / $24.04 / $37.46	Professional		$20.03	$24.04	$37.46
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $28.21	Facility		$21.23	$21.23	$28.21
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $28.21	Professional		$21.23	$21.23	$28.21
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.87 / $29.87 / $30.44	Facility		$29.87	$29.87	$30.44
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.86 / $23.86 / $597.00	Facility		$23.86	$23.86	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $28.21 / $30.78	Professional		$23.14	$28.21	$30.78
United Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $21.23 / $33.19	Professional		$21.23	$21.23	$33.19
Univera Facility/Professional Facility Modifier Low / Median / High Price $23.85 / $28.21 / $28.21	Facility		$23.85	$28.21	$28.21
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.79 / $21.32 / $28.21	Professional		$20.79	$21.32	$28.21