Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $51.29 / $24,547.09	Facility		$31.62	$51.29	$24,547.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $31.62 / $13,803.84	Professional		$30.90	$31.62	$13,803.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $32.36	Facility		$31.62	$31.62	$32.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Professional		$31.62	$31.62	$31.62
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $25.70	Facility		$24.55	$24.55	$25.70
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $24.55	Professional		$24.55	$24.55	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $29.51 / $43.65	Facility		$25.70	$29.51	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.88	Professional		$31.62	$31.62	$33.88
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $38.02 / $107.15	Facility		$29.51	$38.02	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $40.74	Professional		$30.90	$30.90	$40.74
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Highmark BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $37.15	Facility		$31.62	$31.62	$37.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $33.88	Professional		$33.88	$33.88	$33.88
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $50,118.72 / $75,857.76	Facility		$38.02	$50,118.72	$75,857.76
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $32.36	Professional		$32.36	$32.36	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $31.62 / $31.62	Facility		$31.62	$31.62	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $31.62 / $38.90	Professional		$28.84	$31.62	$38.90
Univera Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $34.67	Facility		$30.20	$30.20	$34.67
Univera Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20