Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $37.58 / $61.60	Facility		$28.61	$37.58	$61.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $71.80	Professional		$28.61	$28.61	$71.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.89 / $22.89 / $28.61	Facility		$22.89	$22.89	$28.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $209.54	Professional		$28.61	$28.61	$209.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $29.27 / $29.27 / $30.73	Facility		$29.27	$29.27	$30.73
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $29.27 / $29.27	Professional		$29.27	$29.27	$29.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $40.89	Facility		$26.99	$26.99	$40.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $28.61	Professional		$28.61	$28.61	$28.61
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $40.49 / $332.00	Facility		$26.99	$40.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.04 / $31.04 / $75.03	Professional		$31.04	$31.04	$75.03
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.61 / $28.61 / $29.69	Facility		$28.61	$28.61	$29.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $29.69	Professional		$28.61	$28.61	$29.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.24 / $105.24 / $105.24	Facility		$105.24	$105.24	$105.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $26.99 / $26.99 / $555.00	Facility		$26.99	$26.99	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $28.61 / $124.96	Professional		$2.00	$28.61	$124.96
United Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $28.61 / $53.30	Professional		$28.61	$28.61	$53.30
Univera Facility/Professional Facility Modifier Low / Median / High Price $29.69 / $29.69 / $29.69	Facility		$29.69	$29.69	$29.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $28.61 / $29.69 / $160.43	Professional		$28.61	$29.69	$160.43