Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $22.33 / $40.63	Facility		$18.01	$22.33	$40.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $20.00 / $4,130.70	Professional		$18.01	$20.00	$4,130.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.41 / $14.41 / $18.01	Facility		$14.41	$14.41	$18.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.73	Professional		$18.01	$18.01	$18.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $18.01	Facility		$16.98	$16.98	$18.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.01	Professional		$18.01	$18.01	$18.01
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.49 / $332.00	Facility		$16.98	$25.49	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $19.54 / $26.47	Professional		$19.54	$19.54	$26.47
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.01 / $18.01 / $18.35	Facility		$18.01	$18.01	$18.35
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.35	Professional		$18.01	$18.01	$18.35
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.24 / $22.24 / $22.24	Facility		$22.24	$22.24	$22.24
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $597.00	Facility		$16.98	$16.98	$597.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $26.96	Professional		$18.01	$18.01	$26.96
United Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $25.85	Professional		$18.01	$18.01	$25.85
Univera Facility/Professional Facility Modifier Low / Median / High Price $18.35 / $18.35 / $18.35	Facility		$18.35	$18.35	$18.35
Univera Facility/Professional Professional Modifier Low / Median / High Price $18.01 / $18.01 / $18.35	Professional		$18.01	$18.01	$18.35