Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $34.67 / $70.79	Facility		$15.49	$34.67	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $41.69	Professional		$12.88	$15.85	$41.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $46.77	Facility		$18.20	$18.20	$46.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $9.12 / $42.66	Professional		$8.91	$9.12	$42.66
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $18.20 / $18.20	Facility		$10.96	$18.20	$18.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $18.20 / $18.20	Professional		$13.18	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $38.90 / $194.98	Facility		$13.80	$38.90	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $25.70 / $120.23	Professional		$11.75	$25.70	$120.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $20.89 / $50.12	Facility		$12.02	$20.89	$50.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.59 / $34.67	Professional		$8.51	$12.59	$34.67
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $18.20 / $23.99	Professional		$15.85	$18.20	$23.99
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.60 / $45.71	Facility		$14.45	$16.60	$45.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Professional		$12.02	$12.02	$12.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $50,118.72	Facility		$22.39	$33.88	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $16.22 / $21.88	Facility		$10.96	$16.22	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $10.96 / $27.54	Professional		$7.59	$10.96	$27.54
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.20 / $43.65	Facility		$15.49	$18.20	$43.65
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $66.07	Professional		$15.49	$19.05	$66.07