Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $30.90 / $53.70	Facility		$12.59	$30.90	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.88 / $28.18	Professional		$5.01	$12.88	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $42.66	Facility		$16.22	$16.22	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $26.30	Professional		$8.13	$8.13	$26.30
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $16.22 / $16.22	Facility		$9.77	$16.22	$16.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $16.22	Professional		$12.02	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $34.67 / $79.43	Facility		$12.30	$34.67	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $23.99 / $91.20	Professional		$10.72	$23.99	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $21.38 / $44.67	Facility		$14.45	$21.38	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $9.77 / $31.62	Professional		$7.76	$9.77	$31.62
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $7.94 / $7.94	Facility		$7.94	$7.94	$7.94
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $15.49 / $24.55	Professional		$7.94	$15.49	$24.55
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $29.51 / $50,118.72	Facility		$16.22	$29.51	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.79 / $20.42	Facility		$9.77	$14.79	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.91 / $24.55	Professional		$6.17	$8.91	$24.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.55 / $39.81	Facility		$7.94	$9.55	$39.81
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $52.48	Professional		$7.94	$16.22	$52.48