Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $29.15 / $49.02	Facility		$24.50	$29.15	$49.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.09 / $24.73 / $33.64	Professional		$10.09	$24.73	$33.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.60 / $19.60 / $24.50	Facility		$19.60	$19.60	$24.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.26 / $24.50 / $24.50	Professional		$4.26	$24.50	$24.50
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $4.08	Facility		$3.89	$3.89	$4.08
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Professional		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $23.11 / $23.11	Facility		$4.11	$23.11	$23.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $24.50	Professional		$24.50	$24.50	$24.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.11 / $34.67 / $332.00	Facility		$23.11	$34.67	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $31.66	Professional		$24.50	$24.50	$31.66
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.50 / $24.50 / $25.42	Facility		$24.50	$24.50	$25.42
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.50 / $24.50 / $25.42	Professional		$24.50	$24.50	$25.42
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Facility		$2.84	$2.84	$2.84
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $23.11 / $555.00	Facility		$4.11	$23.11	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $4.45 / $24.50 / $35.97	Professional		$4.45	$24.50	$35.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $24.50 / $34.33	Professional		$21.72	$24.50	$34.33
Univera Facility/Professional Facility Modifier Low / Median / High Price $25.42 / $25.42 / $25.42	Facility		$25.42	$25.42	$25.42
Univera Facility/Professional Professional Modifier Low / Median / High Price $3.40 / $24.50 / $25.42	Professional		$3.40	$24.50	$25.42