Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $26.30 / $41.69	Facility		$13.80	$26.30	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.96 / $23.99	Professional		$7.94	$10.96	$23.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $36.31	Facility		$13.80	$13.80	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $30.20	Professional		$6.92	$6.92	$30.20
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $13.80 / $13.80	Facility		$8.32	$13.80	$13.80
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.80 / $13.80	Professional		$10.23	$13.80	$13.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $29.51 / $117.49	Facility		$10.47	$29.51	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $19.95 / $93.33	Professional		$9.12	$19.95	$93.33
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $16.60 / $40.74	Facility		$10.00	$16.60	$40.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $9.33 / $26.92	Professional		$6.46	$9.33	$26.92
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Facility		$9.33	$9.33	$9.33
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.18 / $18.20	Professional		$9.33	$13.18	$18.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Facility		$24.55	$24.55	$24.55
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $25.12 / $50,118.72	Facility		$13.80	$25.12	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $12.59 / $17.38	Facility		$8.32	$12.59	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.32 / $20.89	Professional		$5.89	$8.32	$20.89
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.33 / $11.22 / $33.88	Facility		$9.33	$11.22	$33.88
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.80 / $39.81	Professional		$9.33	$13.80	$39.81