Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $27.54 / $50.12	Facility		$20.89	$27.54	$50.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $39.81	Professional		$19.95	$20.89	$39.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Facility		$20.89	$20.89	$21.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $30.90	Facility		$29.51	$29.51	$30.90
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $85.11	Facility		$19.50	$19.50	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $91.20	Professional		$20.89	$20.89	$91.20
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $28.18 / $77.62	Facility		$21.38	$28.18	$77.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $41.69	Professional		$24.55	$24.55	$41.69
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Facility		$21.38	$21.38	$22.39
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $22.39	Professional		$21.38	$21.38	$22.39
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $14.13	Facility		$14.13	$14.13	$14.13
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $50,118.72 / $75,857.76	Facility		$28.84	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $37.15	Professional		$20.89	$20.89	$37.15
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $25.12	Facility		$21.38	$21.38	$25.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $25.70	Professional		$15.49	$21.38	$25.70