Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $41.69 / $77.62	Facility		$18.62	$41.69	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.50 / $28.84	Professional		$15.85	$19.50	$28.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $56.23	Facility		$21.88	$21.88	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $51.29	Professional		$10.72	$10.96	$51.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $21.88 / $21.88	Facility		$12.88	$21.88	$21.88
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $21.88 / $21.88	Professional		$15.85	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $45.71 / $234.42	Facility		$16.60	$45.71	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $30.90 / $144.54	Professional		$14.13	$30.90	$144.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $28.18 / $77.62	Facility		$19.05	$28.18	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $15.14 / $41.69	Professional		$10.23	$15.14	$41.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $21.88 / $28.84	Professional		$19.05	$21.88	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $54.95 / $87.10	Facility		$14.45	$54.95	$87.10
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $40.74 / $50,118.72	Facility		$26.92	$40.74	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.50 / $26.92	Facility		$12.88	$19.50	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.88 / $33.11	Professional		$9.12	$12.88	$33.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $21.88 / $52.48	Facility		$18.62	$21.88	$52.48
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $22.91 / $69.18	Professional		$18.62	$22.91	$69.18