Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $16.22 / $60.26	Facility		$3.98	$16.22	$60.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $15.14 / $54.95	Professional		$3.02	$15.14	$54.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.45 / $28.84	Professional		$11.48	$14.45	$28.84
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Facility		$17.78	$17.78	$17.78
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $17.78	Professional		$17.78	$17.78	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $53,703.18	Facility		$19.05	$19.05	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.79 / $56.23	Professional		$9.33	$14.79	$56.23
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $15.49 / $64.57	Facility		$5.01	$15.49	$64.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $40.74	Professional		$14.45	$21.38	$40.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $10.23	Facility		$9.77	$9.77	$10.23
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.23 / $13.18	Professional		$9.33	$10.23	$13.18
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $50,118.72 / $75,857.76	Facility		$23.99	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $38.90	Professional		$10.00	$13.80	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $9.77 / $17.38	Facility		$9.77	$9.77	$17.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $11.22 / $17.38	Professional		$9.33	$11.22	$17.38