Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $52.48 / $107.15	Facility		$36.31	$52.48	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $44.67	Professional		$36.31	$36.31	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $38.02	Facility		$36.31	$36.31	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Professional		$36.31	$36.31	$36.31
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $25.12	Facility		$23.99	$23.99	$25.12
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $23.99	Professional		$23.99	$23.99	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $34.67 / $85.11	Facility		$23.99	$34.67	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $151.36	Professional		$36.31	$36.31	$151.36
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $43.65 / $125.89	Facility		$34.67	$43.65	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $36.31 / $46.77	Professional		$36.31	$36.31	$46.77
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Facility		$35.48	$35.48	$37.15
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $37.15	Professional		$35.48	$35.48	$37.15
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $66.07 / $66.07	Facility		$66.07	$66.07	$66.07
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $50,118.72 / $75,857.76	Facility		$45.71	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $36.31 / $51.29	Professional		$33.88	$36.31	$51.29
Univera Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $41.69	Facility		$35.48	$35.48	$41.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $35.48 / $42.66	Professional		$12.30	$35.48	$42.66