Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $57.54 / $102.33	Facility		$25.12	$57.54	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $42.66	Professional		$20.89	$26.30	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $77.62	Facility		$29.51	$29.51	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $15.14 / $69.18	Professional		$14.45	$15.14	$69.18
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $29.51 / $29.51	Facility		$17.78	$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 $19.50 / $42.66 / $194.98	Professional		$19.50	$42.66	$194.98
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $35.48 / $81.28	Facility		$19.05	$35.48	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $20.89 / $57.54	Professional		$13.80	$20.89	$57.54
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $29.51 / $38.90	Professional		$25.12	$29.51	$38.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $61.66 / $134.90	Facility		$12.30	$61.66	$134.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $56.23 / $50,118.72	Facility		$37.15	$56.23	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $26.30 / $37.15	Facility		$17.78	$26.30	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $17.78 / $44.67	Professional		$12.30	$17.78	$44.67
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $33.88 / $83.18	Facility		$25.12	$33.88	$83.18
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $100.00	Professional		$25.12	$30.90	$100.00