Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $27.98 / $71.65	Facility		$20.90	$27.98	$71.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.73 / $29.56	Professional		$21.53	$21.73	$29.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $21.53 / $44.77	Professional		$21.53	$21.53	$44.77
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $26.80 / $26.80 / $28.14	Facility		$26.80	$26.80	$28.14
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $26.80 / $26.80	Professional		$26.80	$26.80	$26.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $29.60 / $85.00	Facility		$20.30	$29.60	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $30.46	Professional		$21.52	$21.52	$30.46
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $33.51 / $332.00	Facility		$23.35	$33.51	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.34 / $23.35 / $32.29	Professional		$22.34	$23.35	$32.29
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $21.53 / $78.91	Facility		$21.53	$21.53	$78.91
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $78.91 / $78.91	Professional		$21.53	$78.91	$78.91
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.46 / $24.46 / $39.99	Facility		$24.46	$24.46	$39.99
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $20.30 / $30.49 / $85.00	Facility		$20.30	$30.49	$85.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $21.52 / $21.52 / $301.00	Professional		$21.52	$21.52	$301.00
United Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $22.82 / $50.81	Professional		$21.53	$22.82	$50.81
Univera Facility/Professional Facility Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Facility		$78.91	$78.91	$78.91
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.53 / $78.91 / $78.91	Professional		$21.53	$78.91	$78.91