Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $30.90 / $4,570.88	Facility		$20.42	$30.90	$4,570.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $57.54	Professional		$19.95	$20.89	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $21.38	Facility		$20.42	$20.42	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $16.98	Facility		$15.85	$15.85	$16.98
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.50 / $28.84	Facility		$16.60	$19.50	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $85.11	Professional		$20.42	$20.42	$85.11
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $25.12 / $70.79	Facility		$19.50	$25.12	$70.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $25.70	Professional		$22.39	$22.39	$25.70
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $20.89	Facility		$19.95	$19.95	$20.89
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $20.89	Professional		$19.95	$19.95	$20.89
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $20.42 / $33.11	Facility		$14.45	$20.42	$33.11
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $50,118.72 / $75,857.76	Facility		$25.70	$50,118.72	$75,857.76
United Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Facility		$20.42	$20.42	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $28.84	Professional		$19.50	$20.42	$28.84
Univera Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $23.44	Facility		$19.95	$19.95	$23.44
Univera Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.89 / $23.99	Professional		$19.95	$20.89	$23.99