Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $47.86 / $83.18	Facility		$21.88	$47.86	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $20.89 / $58.88	Professional		$18.20	$20.89	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $66.07	Facility		$25.70	$25.70	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.88 / $60.26	Professional		$12.59	$12.88	$60.26
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.70 / $25.70	Facility		$15.14	$25.70	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $25.70 / $25.70	Professional		$18.62	$25.70	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $54.95 / $275.42	Facility		$19.50	$54.95	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $169.82	Professional		$16.60	$36.31	$169.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $30.20 / $70.79	Facility		$14.45	$30.20	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $17.78 / $48.98	Professional		$12.02	$17.78	$48.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Facility		$25.70	$25.70	$25.70
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $25.70 / $33.88	Professional		$22.39	$25.70	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $32.36 / $53.70	Facility		$19.95	$32.36	$53.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $47.86 / $50,118.72	Facility		$31.62	$47.86	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $22.91 / $30.90	Facility		$15.14	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $15.14 / $38.90	Professional		$10.72	$15.14	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $61.66	Facility		$21.88	$25.70	$61.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.92 / $81.28	Professional		$21.88	$26.92	$81.28