Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $20.42 / $32.36	Facility		$8.13	$20.42	$32.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $7.94 / $15.85	Professional		$2.00	$7.94	$15.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $10.72 / $28.18	Facility		$10.72	$10.72	$28.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.27 / $15.49	Professional		$3.98	$4.27	$15.49
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $10.72 / $10.72	Facility		$6.46	$10.72	$10.72
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $10.72 / $10.72	Professional		$7.76	$10.72	$10.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $22.91 / $38.02	Facility		$8.13	$22.91	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $12.88 / $51.29	Professional		$6.31	$12.88	$51.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $11.22 / $23.99	Facility		$5.50	$11.22	$23.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $6.46 / $20.89	Professional		$4.27	$6.46	$20.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $3.80 / $3.80	Facility		$3.80	$3.80	$3.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $9.12 / $12.88	Professional		$3.80	$9.12	$12.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.50 / $50,118.72	Facility		$8.13	$19.50	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $9.77 / $13.49	Facility		$5.62	$9.77	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $6.17 / $16.22	Professional		$3.80	$6.17	$16.22
Univera Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.57 / $19.95	Facility		$3.80	$4.57	$19.95
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $10.23 / $26.92	Professional		$3.80	$10.23	$26.92