Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $45.09 / $81.31	Facility		$36.69	$45.09	$81.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $42.93	Professional		$36.69	$36.69	$42.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $29.35 / $36.69	Facility		$29.35	$29.35	$36.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $75.59	Professional		$36.69	$36.69	$75.59
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $38.21 / $38.21 / $40.11	Facility		$38.21	$38.21	$40.11
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $38.21 / $38.21	Professional		$38.21	$38.21	$38.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $39.96 / $47.91	Facility		$34.61	$39.96	$47.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $38.59	Professional		$36.69	$36.69	$38.59
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $38.08 / $57.12 / $332.00	Facility		$38.08	$57.12	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.08 / $38.08 / $47.91	Professional		$38.08	$38.08	$47.91
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Facility		$36.69	$36.69	$36.69
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.73 / $50.73 / $50.73	Facility		$50.73	$50.73	$50.73
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $34.61 / $41.16 / $53.06	Facility		$34.61	$41.16	$53.06
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $43.27	Professional		$36.69	$36.69	$43.27
United Facility/Professional Professional Modifier Low / Median / High Price $35.64 / $38.45 / $54.10	Professional		$35.64	$38.45	$54.10
Univera Facility/Professional Facility Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Facility		$36.69	$36.69	$36.69
Univera Facility/Professional Professional Modifier Low / Median / High Price $36.69 / $36.69 / $36.69	Professional		$36.69	$36.69	$36.69