Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.20 / $44.58 / $78.02	Facility		$21.20	$44.58	$78.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $21.53 / $45.39	Professional		$17.68	$21.53	$45.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $21.31 / $21.31	Professional		$11.95	$21.31	$21.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $14.76 / $14.76 / $15.50	Facility		$14.76	$14.76	$15.50
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $14.76 / $14.76 / $14.76	Professional		$14.76	$14.76	$14.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $20.11 / $21.31	Facility		$15.06	$20.11	$21.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.11 / $30.17 / $332.00	Facility		$20.11	$30.17	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $23.12 / $27.55	Professional		$21.32	$23.12	$27.55
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $22.12	Facility		$21.31	$21.31	$22.12
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $22.12	Professional		$21.31	$21.31	$22.12
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.69 / $16.96 / $31.77	Facility		$9.69	$16.96	$31.77
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.06 / $20.11 / $555.00	Facility		$15.06	$20.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $21.31 / $25.88	Professional		$5.00	$21.31	$25.88
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $30.81	Professional		$21.31	$21.31	$30.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $22.12 / $22.12 / $22.12	Facility		$22.12	$22.12	$22.12
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $21.31 / $22.12	Professional		$3.32	$21.31	$22.12