Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.00 / $31.99 / $97.61	Facility		$20.00	$31.99	$97.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.50 / $53.79	Professional		$17.00	$22.50	$53.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.88 / $17.88 / $22.35	Facility		$17.88	$17.88	$22.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $21.00 / $34.06	Professional		$21.00	$21.00	$34.06
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Facility		$20.53	$20.53	$20.53
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.53 / $20.53 / $20.53	Professional		$20.53	$20.53	$20.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.96 / $20.56 / $22.10	Facility		$19.96	$20.56	$22.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.10 / $22.10 / $22.10	Professional		$22.10	$22.10	$22.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $34.78 / $332.00	Facility		$21.18	$34.78	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.18 / $21.18 / $28.88	Professional		$21.18	$21.18	$28.88
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $22.35	Professional		$20.72	$20.72	$22.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.00 / $21.00 / $25.88	Facility		$21.00	$21.00	$25.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $20.56 / $597.00	Facility		$20.56	$20.56	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $22.10 / $29.88	Professional		$17.00	$22.10	$29.88
United Facility/Professional Professional Modifier Low / Median / High Price $22.35 / $23.53 / $34.29	Professional		$22.35	$23.53	$34.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.72 / $20.72 / $20.72	Facility		$20.72	$20.72	$20.72
Univera Facility/Professional Professional Modifier Low / Median / High Price $20.72 / $20.72 / $22.35	Professional		$20.72	$20.72	$22.35