Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $42.36 / $20,412.57	Facility		$21.31	$42.36	$20,412.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $22.50 / $7,023.00	Professional		$21.31	$22.50	$7,023.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.05 / $17.05 / $21.31	Facility		$17.05	$17.05	$21.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.93 / $21.31 / $22.68	Professional		$3.93	$21.31	$22.68
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $21.29 / $21.29 / $22.35	Facility		$21.29	$21.29	$22.35
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $21.29 / $21.29	Professional		$21.29	$21.29	$21.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $21.93	Facility		$20.10	$20.10	$21.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.31	Professional		$21.31	$21.31	$21.31
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $30.15 / $332.00	Facility		$20.10	$30.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $22.12 / $39.31	Professional		$22.12	$22.12	$39.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.31 / $21.31 / $21.71	Facility		$21.31	$21.31	$21.71
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.71	Professional		$21.31	$21.31	$21.71
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.33 / $29.99 / $82.01	Facility		$4.33	$29.99	$82.01
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $20.10 / $555.00	Facility		$20.10	$20.10	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $31.99	Professional		$21.31	$21.31	$31.99
United Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $33.39	Professional		$21.31	$21.31	$33.39
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.71 / $21.71 / $21.71	Facility		$21.71	$21.71	$21.71
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.31 / $21.31 / $21.71	Professional		$21.31	$21.31	$21.71