Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $50.12 / $93.33	Facility		$22.91	$50.12	$93.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $38.90	Professional		$12.88	$19.95	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $26.92 / $69.18	Facility		$26.92	$26.92	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $47.86	Professional		$10.72	$10.96	$47.86
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.92 / $26.92	Facility		$15.85	$26.92	$26.92
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $26.92 / $26.92	Professional		$19.50	$26.92	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $56.23 / $194.98	Facility		$20.42	$56.23	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $32.36 / $128.82	Professional		$13.80	$32.36	$128.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $26.92 / $74.13	Facility		$10.00	$26.92	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $51.29	Professional		$12.59	$18.62	$51.29
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $23.44 / $29.51	Professional		$16.60	$23.44	$29.51
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $30.90 / $100.00	Facility		$18.20	$30.90	$100.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $50.12 / $50,118.72	Facility		$22.39	$50.12	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $23.99 / $32.36	Facility		$12.30	$23.99	$32.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.85 / $39.81	Professional		$11.22	$15.85	$39.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $47.86	Facility		$15.49	$30.90	$47.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $26.92 / $56.23	Professional		$16.98	$26.92	$56.23