Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $66.07 / $109.65	Facility		$30.90	$66.07	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.18 / $42.66	Professional		$19.05	$28.18	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $95.50	Facility		$36.31	$36.31	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $67.61	Professional		$14.45	$14.45	$67.61
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $36.31 / $36.31	Facility		$21.88	$36.31	$36.31
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $36.31	Professional		$26.92	$36.31	$36.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $77.62 / $104.71	Facility		$24.55	$77.62	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $43.65 / $177.83	Professional		$20.42	$43.65	$177.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $41.69 / $100.00	Facility		$21.38	$41.69	$100.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.70 / $70.79	Professional		$16.98	$25.70	$70.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $34.67 / $43.65	Professional		$23.44	$34.67	$43.65
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $69.18 / $50,118.72	Facility		$30.90	$69.18	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $33.11 / $43.65	Facility		$18.20	$33.11	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $20.89 / $54.95	Professional		$15.49	$20.89	$54.95
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $41.69 / $89.13	Facility		$22.39	$41.69	$89.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $36.31 / $75.86	Professional		$25.12	$36.31	$75.86