Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.17 / $27.51 / $83.81	Facility		$10.17	$27.51	$83.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.32 / $10.68 / $12.56	Professional		$4.32	$10.68	$12.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.56 / $12.56 / $32.65	Facility		$12.56	$12.56	$32.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $6.20 / $19.39	Professional		$3.21	$6.20	$19.39
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $12.56 / $12.56	Facility		$7.54	$12.56	$12.56
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $12.56 / $12.56	Professional		$9.17	$12.56	$12.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.77 / $26.52 / $62.53	Facility		$8.77	$26.52	$62.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.25 / $80.78	Professional		$9.33	$14.25	$80.78
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $16.32 / $332.00	Facility		$6.50	$16.32	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.74 / $7.54 / $22.98	Professional		$5.74	$7.54	$22.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.11 / $8.11 / $8.11	Facility		$8.11	$8.11	$8.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.11 / $10.68 / $14.11	Professional		$8.11	$10.68	$14.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.27 / $8.27 / $8.27	Facility		$8.27	$8.27	$8.27
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $30.64 / $168.83	Facility		$13.73	$30.64	$168.83
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.48 / $10.52 / $25.87	Professional		$5.48	$10.52	$25.87
United Facility/Professional Professional Modifier Low / Median / High Price $5.15 / $5.65 / $18.45	Professional		$5.15	$5.65	$18.45
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.44 / $14.44 / $34.28	Facility		$14.44	$14.44	$34.28
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.41 / $12.06 / $15.10	Professional		$8.41	$12.06	$15.10