Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $25.12 / $39.81	Facility		$15.85	$25.12	$39.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $25.12 / $33.88	Professional		$16.98	$25.12	$33.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $63.10	Facility		$31.62	$31.62	$63.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $72.44	Professional		$26.92	$26.92	$72.44
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Facility		$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53,703.18	Facility		$53.70	$53.70	$53,703.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $162.18	Professional		$18.62	$18.62	$162.18
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $53.70 / $123.03	Facility		$32.36	$53.70	$123.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $57.54 / $91.20	Professional		$28.84	$57.54	$91.20
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $32.36 / $32.36	Facility		$30.90	$32.36	$32.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Professional		$30.90	$30.90	$33.11
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50,118.72 / $75,857.76	Facility		$50.12	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $42.66 / $54.95	Facility		$36.31	$42.66	$54.95
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $35.48 / $58.88	Professional		$11.48	$35.48	$58.88
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $32.36	Facility		$30.90	$30.90	$32.36
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $33.11	Professional		$30.90	$30.90	$33.11