Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $66.07 / $117.49	Facility		$12.59	$66.07	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $45.71	Professional		$12.02	$12.88	$45.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $14.79	Professional		$12.88	$12.88	$14.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Facility		$22.39	$22.39	$22.39
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $14.13 / $50,118.72	Facility		$13.18	$14.13	$50,118.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $70.79	Professional		$13.18	$13.18	$70.79
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $93.33 / $208.93	Facility		$10.96	$93.33	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.96 / $10.96	Professional		$9.33	$10.96	$10.96
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $13.80	Facility		$10.96	$13.80	$13.80
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $13.80	Professional		$10.96	$10.96	$13.80
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $15.85 / $91.20	Facility		$13.18	$15.85	$91.20
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.18 / $13.18	Professional		$13.18	$13.18	$13.18
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 $12.88 / $12.88 / $18.20	Professional		$12.88	$12.88	$18.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $13.80 / $16.60	Facility		$10.96	$13.80	$16.60
Univera Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.60	Professional		$10.96	$10.96	$16.60