Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $202.64 / $876.62	Facility		$30.01	$202.64	$876.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $33.99 / $506.75	Professional		$30.01	$33.99	$506.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.01 / $24.01 / $30.01	Facility		$24.01	$24.01	$30.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.12 / $30.01 / $30.01	Professional		$13.12	$30.01	$30.01
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.04 / $15.04 / $15.79	Facility		$15.04	$15.04	$15.79
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.04 / $15.04 / $15.04	Professional		$15.04	$15.04	$15.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $28.31 / $28.31	Facility		$16.16	$28.31	$28.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $30.01	Professional		$30.01	$30.01	$30.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $28.31 / $42.47 / $332.00	Facility		$28.31	$42.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.56 / $32.56 / $39.11	Professional		$32.56	$32.56	$39.11
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.01 / $30.01 / $31.14	Facility		$30.01	$30.01	$31.14
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $31.14	Professional		$30.01	$30.01	$31.14
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $33.21 / $44.48	Facility		$0.02	$33.21	$44.48
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.16 / $28.31 / $555.00	Facility		$16.16	$28.31	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $30.01 / $31.51	Professional		$21.99	$30.01	$31.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.01 / $30.01 / $45.02	Professional		$30.01	$30.01	$45.02
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.14 / $31.14 / $31.14	Facility		$31.14	$31.14	$31.14
Univera Facility/Professional Professional Modifier Low / Median / High Price $4.63 / $30.01 / $31.14	Professional		$4.63	$30.01	$31.14