Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.73 / $18.55 / $39.15	Facility		$12.73	$18.55	$39.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.73 / $18.32 / $25.93	Professional		$12.73	$18.32	$25.93
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $38.15 / $74.80	Facility		$37.40	$38.15	$74.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.75 / $20.75 / $57.94	Professional		$20.75	$20.75	$57.94
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $28.97 / $31.15 / $31.15	Facility		$28.97	$31.15	$31.15
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $31.15 / $31.15 / $31.15	Professional		$31.15	$31.15	$31.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $24.80	Facility		$24.80	$24.80	$24.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $18.10 / $24.80	Professional		$18.10	$18.10	$24.80
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $84.15 / $332.00	Facility		$37.40	$84.15	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.07 / $28.05 / $67.31	Professional		$22.07	$28.05	$67.31
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.38 / $28.38 / $28.38	Facility		$28.38	$28.38	$28.38
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $22.98 / $31.15	Professional		$21.62	$22.98	$31.15
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.32 / $30.32 / $30.32	Professional		$30.32	$30.32	$30.32
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $24.80 / $24.80 / $555.00	Facility		$24.80	$24.80	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $18.10 / $24.80 / $55.73	Professional		$18.10	$24.80	$55.73
United Facility/Professional Professional Modifier Low / Median / High Price $12.44 / $19.94 / $33.65	Professional		$12.44	$19.94	$33.65
Univera Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $21.62 / $21.62	Facility		$21.62	$21.62	$21.62
Univera Facility/Professional Professional Modifier Low / Median / High Price $21.62 / $21.62 / $28.38	Professional		$21.62	$21.62	$28.38