Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $112.20 / $199.53	Facility		$10.00	$112.20	$199.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.85 / $204.17	Professional		$12.02	$15.85	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.59 / $23.44	Professional		$10.00	$12.59	$23.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $53,703.18	Facility		$24.55	$24.55	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $20.89 / $75.86	Professional		$7.94	$20.89	$75.86
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $54.95 / $87.10	Facility		$30.20	$54.95	$87.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $27.54 / $43.65	Professional		$22.91	$27.54	$43.65
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $14.45 / $32.36	Professional		$12.30	$14.45	$32.36
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50,118.72 / $53,703.18 / $75,857.76	Facility		$50,118.72	$53,703.18	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $17.38 / $33.11	Professional		$10.72	$17.38	$33.11
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $16.60 / $89.13	Facility		$12.30	$16.60	$89.13
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $19.50 / $190.55	Professional		$12.30	$19.50	$190.55