Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $56.23 / $89.13	Facility		$25.12	$56.23	$89.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $23.99 / $56.23	Professional		$20.89	$23.99	$56.23
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 / $14.79 / $69.18	Professional		$14.45	$14.79	$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 $26.30 / $38.02 / $104.71	Facility		$26.30	$38.02	$104.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $17.38 / $56.23	Professional		$13.80	$17.38	$56.23
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $28.18 / $41.69	Professional		$15.14	$28.18	$41.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $52.48 / $50,118.72	Facility		$29.51	$52.48	$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 $15.14 / $18.20 / $70.79	Facility		$15.14	$18.20	$70.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $29.51 / $93.33	Professional		$15.14	$29.51	$93.33