Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.00 / $46.33 / $20,838.87	Facility		$24.00	$46.33	$20,838.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.96 / $17,001.18	Professional		$24.00	$24.96	$17,001.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.20 / $19.20 / $24.00	Facility		$19.20	$19.20	$24.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $32.15	Professional		$24.00	$24.00	$32.15
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.25 / $23.25 / $24.41	Facility		$23.25	$23.25	$24.41
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.25 / $23.25 / $23.25	Professional		$23.25	$23.25	$23.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $24.00	Facility		$22.64	$22.64	$24.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $24.00	Professional		$24.00	$24.00	$24.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $33.96 / $332.00	Facility		$22.64	$33.96	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.90 / $24.90 / $37.65	Professional		$24.90	$24.90	$37.65
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $16.55 / $24.90	Facility		$16.55	$16.55	$24.90
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $19.87 / $24.90	Professional		$16.55	$19.87	$24.90
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.48 / $26.48 / $31.98	Facility		$26.48	$26.48	$31.98
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.64 / $22.64 / $555.00	Facility		$22.64	$22.64	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $23.88 / $24.00 / $35.45	Professional		$23.88	$24.00	$35.45
United Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $24.00 / $35.52	Professional		$24.00	$24.00	$35.52
Univera Facility/Professional Facility Modifier Low / Median / High Price $24.90 / $24.90 / $24.90	Facility		$24.90	$24.90	$24.90
Univera Facility/Professional Professional Modifier Low / Median / High Price $8.78 / $24.00 / $24.90	Professional		$8.78	$24.00	$24.90