Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $38.22 / $69.55	Facility		$31.27	$38.22	$69.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $32.53 / $6,240.00	Professional		$31.27	$32.53	$6,240.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.02 / $25.02 / $31.27	Facility		$25.02	$25.02	$31.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.75 / $31.27 / $36.54	Professional		$29.75	$31.27	$36.54
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.69 / $28.69 / $30.12	Facility		$28.69	$28.69	$30.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $31.27	Facility		$29.50	$29.50	$31.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.27	Professional		$31.27	$31.27	$31.27
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $44.25 / $332.00	Facility		$29.50	$44.25	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.93 / $33.93 / $45.82	Professional		$33.93	$33.93	$45.82
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.27 / $31.27 / $31.86	Facility		$31.27	$31.27	$31.86
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.86	Professional		$31.27	$31.27	$31.86
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.40 / $35.40 / $38.18	Facility		$35.40	$35.40	$38.18
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $29.50 / $29.50 / $555.00	Facility		$29.50	$29.50	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $44.24	Professional		$31.27	$31.27	$44.24
United Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $45.35	Professional		$31.27	$31.27	$45.35
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.86 / $31.86 / $31.86	Facility		$31.86	$31.86	$31.86
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.27 / $31.27 / $31.86	Professional		$31.27	$31.27	$31.86