Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.82 / $79.34 / $3,316.00	Facility		$18.82	$79.34	$3,316.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $32.86 / $50.69	Professional		$16.05	$32.86	$50.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,696.80 / $3,366.00 / $4,636.00	Facility		$1,696.80	$3,366.00	$4,636.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.69 / $30.11 / $64.06	Professional		$14.69	$30.11	$64.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $22.28 / $22.28	Facility		$22.28	$22.28	$22.28
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $22.28 / $41.85	Professional		$22.28	$22.28	$41.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $14,648.00	Facility		$25.36	$25.36	$14,648.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $33.40 / $74.51	Professional		$14.48	$33.40	$74.51
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $17.12 / $29.00 / $332.00	Facility		$17.12	$29.00	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $25.91 / $37.06 / $56.53	Professional		$25.91	$37.06	$56.53
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $26.71 / $45.15	Professional		$21.57	$26.71	$45.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $250.79 / $358.52	Facility		$31.00	$250.79	$358.52
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.36 / $25.36 / $74,999.25	Facility		$25.36	$25.36	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $39.34 / $86.57	Professional		$19.00	$39.34	$86.57
United Facility/Professional Facility Modifier Low / Median / High Price $562.00 / $2,820.00 / $4,851.00	Facility		$562.00	$2,820.00	$4,851.00
United Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $37.57 / $85.64	Professional		$28.12	$37.57	$85.64
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $19.02 / $59.91	Facility		$19.02	$19.02	$59.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.57 / $34.97 / $51.03	Professional		$21.57	$34.97	$51.03