Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $77.53 / $134.30	Facility		$9.77	$77.53	$134.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $20.00 / $39.17	Professional		$9.88	$20.00	$39.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.21 / $18.89 / $37.90	Professional		$15.21	$18.89	$37.90
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Facility		$23.68	$23.68	$23.68
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.68 / $23.68 / $23.68	Professional		$23.68	$23.68	$23.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $162.13	Professional		$26.94	$26.94	$162.13
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $5.00 / $42.33 / $332.00	Facility		$5.00	$42.33	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.17 / $58.61 / $108.89	Professional		$39.17	$58.61	$108.89
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.36 / $13.36 / $13.36	Facility		$13.36	$13.36	$13.36
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.36 / $13.36 / $32.40	Professional		$13.36	$13.36	$32.40
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.25 / $62.83 / $89.76	Facility		$41.25	$62.83	$89.76
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.05 / $27.05 / $67.15	Professional		$27.05	$27.05	$67.15
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $555.00 / $597.00 / $74,999.25	Facility		$555.00	$597.00	$74,999.25
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $16.00 / $26.94	Professional		$16.00	$16.00	$26.94
United Facility/Professional Professional Modifier Low / Median / High Price $12.65 / $25.64 / $48.81	Professional		$12.65	$25.64	$48.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.16 / $22.16 / $22.22	Facility		$22.16	$22.16	$22.22
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.82 / $22.22 / $43.66	Professional		$16.82	$22.22	$43.66