Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $23.44 / $77.62	Facility		$10.23	$23.44	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $10.96 / $33.11	Professional		$6.03	$10.96	$33.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $31.62	Facility		$12.02	$12.02	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $4.79 / $21.38	Professional		$4.79	$4.79	$21.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $12.02 / $12.02	Facility		$7.24	$12.02	$12.02
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.02 / $12.02	Professional		$8.71	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $16.98 / $42.66	Facility		$7.76	$16.98	$42.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $57.54 / $57.54	Professional		$7.24	$57.54	$57.54
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.85 / $33.11	Facility		$10.72	$15.85	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $7.24 / $23.44	Professional		$5.62	$7.24	$23.44
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $7.24 / $7.24	Facility		$7.24	$7.24	$7.24
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $13.80	Professional		$7.24	$10.23	$13.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $34.67 / $54.95	Facility		$13.18	$34.67	$54.95
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.91 / $50,118.72	Facility		$15.85	$22.91	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $10.96 / $14.45	Facility		$7.24	$10.96	$14.45
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.24 / $18.20	Professional		$5.01	$7.24	$18.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $14.45	Facility		$7.24	$8.71	$14.45
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.23 / $14.79	Professional		$7.24	$10.23	$14.79