Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $50.12 / $125.89	Facility		$19.05	$50.12	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $51.29	Professional		$15.85	$19.95	$51.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $57.54	Facility		$22.39	$22.39	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $57.54	Professional		$10.96	$10.96	$57.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $22.39 / $25.70	Facility		$10.96	$22.39	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $22.39 / $25.70	Professional		$16.22	$22.39	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $53.70 / $239.88	Facility		$16.98	$53.70	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $32.36 / $147.91	Professional		$17.38	$32.36	$147.91
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $28.84 / $81.28	Facility		$20.89	$28.84	$81.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $15.49 / $43.65	Professional		$10.47	$15.49	$43.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $22.39 / $33.88	Professional		$19.50	$22.39	$33.88
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $38.02 / $104.71	Facility		$17.78	$38.02	$104.71
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $41.69 / $50,118.72	Facility		$28.18	$41.69	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $16.60 / $26.92	Facility		$10.23	$16.60	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $36.31	Professional		$9.33	$13.49	$36.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $22.39 / $53.70	Facility		$19.05	$22.39	$53.70
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.44 / $69.18	Professional		$19.05	$23.44	$69.18