Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $43.65 / $77.62	Facility		$23.99	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.05 / $37.15	Professional		$12.88	$19.05	$37.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $63.10	Facility		$23.99	$23.99	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.72 / $46.77	Professional		$9.55	$10.72	$46.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $23.99 / $23.99	Facility		$14.45	$23.99	$23.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $23.99 / $23.99	Professional		$17.38	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $51.29 / $190.55	Facility		$18.20	$51.29	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $114.82	Professional		$13.49	$28.84	$114.82
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $23.99 / $66.07	Facility		$11.48	$23.99	$66.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $16.98 / $46.77	Professional		$11.22	$16.98	$46.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $22.91 / $28.84	Professional		$16.60	$22.91	$28.84
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $45.71	Facility		$19.50	$19.50	$45.71
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $45.71 / $50,118.72	Facility		$21.88	$45.71	$50,118.72
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $21.88 / $28.84	Facility		$12.02	$21.88	$28.84
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $36.31	Professional		$10.00	$14.45	$36.31
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $21.88 / $42.66	Facility		$20.42	$21.88	$42.66
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $60.26	Professional		$16.98	$23.99	$60.26