Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $44.67 / $77.62	Facility		$19.95	$44.67	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $19.95 / $34.67	Professional		$10.00	$19.95	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $61.66	Facility		$23.44	$23.44	$61.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $43.65	Professional		$11.48	$11.48	$43.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $23.44 / $23.44	Facility		$14.13	$23.44	$23.44
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.44 / $23.44	Professional		$17.38	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $50.12 / $158.49	Facility		$17.78	$50.12	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $33.88 / $154.88	Professional		$15.14	$33.88	$154.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $26.92 / $64.57	Facility		$15.14	$26.92	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $45.71	Professional		$11.22	$15.85	$45.71
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Facility		$15.85	$15.85	$15.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.39 / $32.36	Professional		$15.85	$22.39	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $28.84 / $389.05	Facility		$15.85	$28.84	$389.05
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $42.66 / $50,118.72	Facility		$23.44	$42.66	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.38 / $29.51	Facility		$14.13	$21.38	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $35.48	Professional		$10.00	$13.80	$35.48
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $19.05 / $54.95	Facility		$15.85	$19.05	$54.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $23.44 / $74.13	Professional		$15.85	$23.44	$74.13