Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $17.78 / $38.90	Facility		$13.80	$17.78	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $13.80 / $23.44	Professional		$12.88	$13.80	$23.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $14.13	Facility		$13.80	$13.80	$14.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $23.99	Facility		$22.91	$22.91	$23.99
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $22.91 / $22.91	Professional		$22.91	$22.91	$22.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $26.30	Facility		$12.88	$12.88	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $15.49	Professional		$13.80	$13.80	$15.49
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $16.98 / $47.86	Facility		$13.18	$16.98	$47.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $15.14 / $19.50	Professional		$14.79	$15.14	$19.50
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Facility		$12.30	$12.30	$12.30
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Professional		$13.80	$13.80	$13.80
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $50,118.72 / $75,857.76	Facility		$15.49	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $22.39	Professional		$22.39	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $13.80 / $13.80	Facility		$13.80	$13.80	$13.80
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $14.13 / $18.20	Professional		$12.88	$14.13	$18.20
Univera Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $14.79	Facility		$12.30	$12.30	$14.79
Univera Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30