Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $45.71 / $85.11	Facility		$17.38	$45.71	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $21.38 / $64.57	Professional		$15.14	$21.38	$64.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $52.48	Facility		$19.95	$19.95	$52.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $51.29	Professional		$10.00	$10.00	$51.29
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $19.95 / $19.95	Facility		$12.02	$19.95	$19.95
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.95 / $19.95	Professional		$14.79	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $50.12 / $218.78	Facility		$15.14	$50.12	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.84 / $104.71	Professional		$14.13	$28.84	$104.71
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $22.91 / $54.95	Facility		$13.18	$22.91	$54.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.98 / $38.02	Professional		$14.13	$16.98	$38.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $35.48	Professional		$14.79	$19.05	$35.48
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $38.90 / $89.13	Facility		$13.49	$38.90	$89.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $50,118.72	Facility		$19.95	$36.31	$50,118.72
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $25.70	Professional		$19.95	$19.95	$25.70
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $19.95 / $23.99	Facility		$18.20	$19.95	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $12.02 / $31.62	Professional		$8.51	$12.02	$31.62
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $16.98 / $48.98	Facility		$14.13	$16.98	$48.98
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.95 / $63.10	Professional		$16.98	$19.95	$63.10