Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.00 / $24.40 / $43.58	Facility		$13.00	$24.40	$43.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.49 / $10.81 / $17.73	Professional		$6.49	$10.81	$17.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.29 / $15.29 / $39.75	Facility		$15.29	$15.29	$39.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.42 / $7.80 / $24.17	Professional		$4.42	$7.80	$24.17
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $9.17 / $15.29 / $15.29	Facility		$9.17	$15.29	$15.29
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $11.16 / $15.29 / $15.29	Professional		$11.16	$15.29	$15.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.68 / $31.10 / $94.03	Facility		$10.68	$31.10	$94.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $15.34 / $73.70	Professional		$9.11	$15.34	$73.70
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $20.50 / $332.00	Facility		$10.00	$20.50	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $9.10 / $27.98	Professional		$6.12	$9.10	$27.98
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.79 / $3.79 / $3.79	Facility		$3.79	$3.79	$3.79
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.79 / $12.81 / $17.17	Professional		$3.79	$12.81	$17.17
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.60 / $30.60 / $30.60	Facility		$30.60	$30.60	$30.60
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $14.26 / $37.47 / $164.96	Facility		$14.26	$37.47	$164.96
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.67 / $26.40	Professional		$7.94	$11.67	$26.40
United Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.41 / $22.17	Professional		$6.42	$8.41	$22.17
Univera Facility/Professional Facility Modifier Low / Median / High Price $17.57 / $17.57 / $31.10	Facility		$17.57	$17.57	$31.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $14.23 / $18.38	Professional		$9.35	$14.23	$18.38