Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.63 / $30.72 / $9,671.34	Facility		$23.63	$30.72	$9,671.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.89 / $34.29	Professional		$23.65	$23.89	$34.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.92 / $18.92 / $23.65	Facility		$18.92	$18.92	$23.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.84 / $23.65 / $23.65	Professional		$21.84	$23.65	$23.65
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $20.56 / $20.56 / $21.59	Facility		$20.56	$20.56	$21.59
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $20.56 / $20.56 / $20.56	Professional		$20.56	$20.56	$20.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $23.65	Facility		$22.31	$22.31	$23.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $23.65	Professional		$23.65	$23.65	$23.65
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $33.47 / $332.00	Facility		$22.31	$33.47	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $30.56	Professional		$23.65	$23.65	$30.56
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.65 / $23.65 / $24.10	Facility		$23.65	$23.65	$24.10
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $24.10	Professional		$23.65	$23.65	$24.10
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.23 / $0.23 / $0.23	Facility		$0.23	$0.23	$0.23
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.31 / $22.31 / $597.00	Facility		$22.31	$22.31	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $32.77	Professional		$23.65	$23.65	$32.77
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $33.14	Professional		$23.65	$23.65	$33.14
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.10 / $24.10 / $24.10	Facility		$24.10	$24.10	$24.10
Univera Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $23.65 / $24.10	Professional		$23.65	$23.65	$24.10