Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $33.88 / $109.65	Facility		$13.80	$33.88	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $43.65	Professional		$10.96	$15.14	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $16.22 / $41.69	Facility		$16.22	$16.22	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $8.13 / $38.02	Professional		$7.94	$8.13	$38.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $16.22 / $16.22	Facility		$9.55	$16.22	$16.22
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $16.22 / $16.22	Professional		$11.75	$16.22	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $38.02 / $173.78	Facility		$12.30	$38.02	$173.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.05 / $107.15	Professional		$10.47	$19.05	$107.15
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $20.89 / $57.54	Facility		$16.60	$20.89	$57.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.55 / $30.90	Professional		$7.59	$9.55	$30.90
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 / $26.30	Professional		$7.94	$15.49	$26.30
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $14.13 / $70.79	Facility		$11.75	$14.13	$70.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $28.84 / $50,118.72	Facility		$16.22	$28.84	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $14.45 / $19.50	Facility		$9.55	$14.45	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $24.55	Professional		$6.76	$9.55	$24.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $9.55 / $38.90	Facility		$7.94	$9.55	$38.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $16.22 / $54.95	Professional		$7.94	$16.22	$54.95