Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.95 / $28.43 / $5,757.11	Facility		$18.95	$28.43	$5,757.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.01 / $22.23 / $27.74	Professional		$22.01	$22.23	$27.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.62 / $17.62 / $22.02	Facility		$17.62	$17.62	$22.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.61 / $22.02 / $22.02	Professional		$20.61	$22.02	$22.02
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.40 / $24.40 / $25.62	Facility		$24.40	$24.40	$25.62
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.40 / $24.40 / $24.40	Professional		$24.40	$24.40	$24.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $26.66	Facility		$20.77	$20.77	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.02	Professional		$22.02	$22.02	$22.02
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $31.16 / $332.00	Facility		$20.77	$31.16	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $23.89 / $46.02	Professional		$23.89	$23.89	$46.02
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.02 / $22.02 / $22.85	Facility		$22.02	$22.02	$22.85
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.85	Professional		$22.02	$22.02	$22.85
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.16 / $31.17 / $32.96	Facility		$31.16	$31.17	$32.96
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.77 / $20.77 / $555.00	Facility		$20.77	$20.77	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $27.35	Professional		$22.02	$22.02	$27.35
United Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $34.50	Professional		$22.02	$22.02	$34.50
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $22.85 / $22.85	Facility		$22.85	$22.85	$22.85
Univera Facility/Professional Professional Modifier Low / Median / High Price $22.02 / $22.02 / $22.85	Professional		$22.02	$22.02	$22.85