Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.03 / $13.46 / $24.49	Facility		$11.03	$13.46	$24.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $12.26 / $8,060.74	Professional		$11.04	$12.26	$8,060.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $8.83 / $11.04	Facility		$8.83	$8.83	$11.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $18.69	Professional		$11.04	$11.04	$18.69
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $16.10 / $16.10 / $16.91	Facility		$16.10	$16.10	$16.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $16.10 / $16.10	Professional		$16.10	$16.10	$16.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $18.19	Facility		$10.41	$10.41	$18.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.04	Professional		$11.04	$11.04	$11.04
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $15.62 / $332.00	Facility		$10.41	$15.62	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.46 / $11.46 / $28.94	Professional		$11.46	$11.46	$28.94
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.04 / $11.04 / $11.25	Facility		$11.04	$11.04	$11.25
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.25	Professional		$11.04	$11.04	$11.25
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.63 / $15.63 / $48.00	Facility		$15.63	$15.63	$48.00
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $10.41 / $10.41 / $555.00	Facility		$10.41	$10.41	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $21.46	Professional		$11.04	$11.04	$21.46
United Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $25.55	Professional		$11.04	$11.04	$25.55
Univera Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
Univera Facility/Professional Professional Modifier Low / Median / High Price $11.04 / $11.04 / $11.25	Professional		$11.04	$11.04	$11.25