Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $57.54 / $112.20	Facility		$25.12	$57.54	$112.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $51.29	Professional		$20.89	$26.30	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $75.86	Facility		$29.51	$29.51	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $69.18	Professional		$14.45	$15.14	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $29.51 / $29.51	Facility		$17.38	$29.51	$29.51
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $29.51 / $29.51	Professional		$21.38	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $63.10 / $316.23	Facility		$22.39	$63.10	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $42.66 / $194.98	Professional		$19.05	$42.66	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $35.48 / $81.28	Facility		$18.62	$35.48	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.42 / $56.23	Professional		$13.80	$20.42	$56.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $29.51 / $38.90	Professional		$25.70	$29.51	$38.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $33.11 / $131.83	Facility		$25.70	$33.11	$131.83
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $54.95 / $50,118.72	Facility		$36.31	$54.95	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $36.31	Facility		$17.38	$26.30	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.38 / $44.67	Professional		$12.30	$17.38	$44.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $29.51 / $79.43	Facility		$25.12	$29.51	$79.43
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $93.33	Professional		$25.12	$30.90	$93.33