Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $22.93 / $100.84	Facility		$10.68	$22.93	$100.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $11.14 / $30.88	Professional		$6.49	$11.14	$30.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $34.06	Facility		$13.10	$13.10	$34.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $7.80 / $22.53	Professional		$4.42	$7.80	$22.53
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $13.10 / $13.10	Facility		$7.86	$13.10	$13.10
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $13.10 / $13.10	Professional		$9.56	$13.10	$13.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.15 / $26.86 / $94.03	Facility		$9.15	$26.86	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $16.44 / $71.61	Professional		$9.22	$16.44	$71.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $18.34 / $332.00	Facility		$10.01	$18.34	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.86 / $23.97	Professional		$5.99	$7.86	$23.97
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $13.10 / $13.10	Facility		$13.10	$13.10	$13.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $13.10 / $15.75	Professional		$10.66	$13.10	$15.75
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.23 / $20.23 / $32.75	Facility		$20.23	$20.23	$32.75
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $13.73 / $32.36 / $160.97	Facility		$13.73	$32.36	$160.97
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $14.87 / $26.40	Professional		$9.61	$14.87	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.74 / $19.23	Professional		$5.50	$7.74	$19.23
Univera Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $15.06 / $39.09	Facility		$15.06	$15.06	$39.09
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.35 / $13.73 / $16.89	Professional		$10.35	$13.73	$16.89