Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $42.66 / $91.20	Facility		$31.62	$42.66	$91.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $11,220.18	Professional		$30.90	$33.88	$11,220.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Facility		$31.62	$31.62	$33.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $30.20	Facility		$28.84	$28.84	$30.20
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Professional		$28.84	$28.84	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $85.11	Facility		$30.20	$30.20	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $131.83	Professional		$31.62	$31.62	$131.83
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.90 / $109.65	Facility		$30.20	$38.90	$109.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $46.77	Professional		$34.67	$34.67	$46.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Facility		$31.62	$31.62	$33.11
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $38.02	Facility		$35.48	$35.48	$38.02
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $50,118.72 / $75,857.76	Facility		$39.81	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $31.62 / $46.77	Professional		$30.20	$31.62	$46.77
Univera Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $36.31	Facility		$31.62	$31.62	$36.31
Univera Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $37.15	Professional		$31.62	$31.62	$37.15