Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $158.49 / $489.78	Facility		$14.79	$158.49	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.49 / $446.68	Professional		$14.13	$15.49	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $15.49	Facility		$14.79	$14.79	$15.49
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $14.79	Professional		$14.79	$14.79	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $85.11	Facility		$13.80	$13.80	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $63.10	Professional		$14.79	$14.79	$63.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $18.20 / $33.11	Facility		$13.80	$18.20	$33.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.85 / $15.85	Professional		$13.49	$15.85	$15.85
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $15.49	Facility		$14.79	$14.79	$15.49
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $15.14	Professional		$14.79	$15.14	$15.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $18.62 / $25.12	Facility		$15.49	$18.62	$25.12
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $50,118.72 / $75,857.76	Facility		$18.62	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $14.79 / $20.42	Professional		$14.79	$14.79	$20.42
Univera Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $14.79 / $17.38	Facility		$14.79	$14.79	$17.38
Univera Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $15.14	Professional		$14.79	$15.14	$15.14