Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $38.90 / $70.79	Facility		$17.38	$38.90	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $34.67	Professional		$15.14	$18.20	$34.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $52.48	Facility		$20.42	$20.42	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $52.48	Professional		$10.00	$10.00	$52.48
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $20.42	Facility		$12.30	$20.42	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $20.42 / $20.42	Professional		$14.79	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $43.65 / $218.78	Facility		$15.49	$43.65	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $29.51 / $134.90	Professional		$13.18	$29.51	$134.90
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $24.55 / $58.88	Facility		$14.45	$24.55	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $38.90	Professional		$9.55	$14.13	$38.90
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $20.42 / $28.84	Professional		$17.78	$20.42	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $42.66 / $120.23	Facility		$13.80	$42.66	$120.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $38.02 / $50,118.72	Facility		$25.12	$38.02	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $18.20 / $24.55	Facility		$12.30	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.30 / $30.90	Professional		$8.51	$12.30	$30.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $20.42 / $46.77	Facility		$17.38	$20.42	$46.77
Univera Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.38 / $60.26	Professional		$17.38	$21.38	$60.26