Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $40.74 / $69.18	Facility		$21.38	$40.74	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.38 / $36.31	Professional		$20.89	$21.38	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $20.42	Facility		$19.50	$19.50	$20.42
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $85.11	Facility		$19.95	$19.95	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $87.10	Professional		$21.38	$21.38	$87.10
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $26.30 / $74.13	Facility		$20.42	$26.30	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $23.44 / $25.12	Professional		$23.44	$23.44	$25.12
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Facility		$20.89	$20.89	$21.88
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $21.38	Professional		$20.89	$20.89	$21.38
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.27 / $20.89 / $41.69	Facility		$4.27	$20.89	$41.69
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $50,118.72 / $75,857.76	Facility		$28.18	$50,118.72	$75,857.76
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $32.36	Professional		$21.38	$21.38	$32.36
Univera Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $24.55	Facility		$20.89	$20.89	$24.55
Univera Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $20.89 / $25.12	Professional		$5.62	$20.89	$25.12