Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.00 / $38.68 / $456.06	Facility		$12.00	$38.68	$456.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $12.00 / $17.37	Professional		$12.00	$12.00	$17.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $29.74 / $58.32	Facility		$29.16	$29.74	$58.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $47.00	Professional		$25.00	$25.00	$47.00
CDPHP Facility/Professional Facility Modifier Low / Median / High Price $19.80 / $23.91 / $23.91	Facility		$19.80	$23.91	$23.91
CDPHP Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $23.91 / $23.91	Professional		$23.91	$23.91	$23.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $22.22	Facility		$22.22	$22.22	$22.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.76 / $23.50	Professional		$16.22	$21.76	$23.50
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $29.16 / $65.61 / $332.00	Facility		$29.16	$65.61	$332.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $21.87 / $53.13	Professional		$18.07	$21.87	$53.13
Excellus BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.18 / $18.18 / $18.18	Facility		$18.18	$18.18	$18.18
Excellus BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $23.91	Professional		$16.98	$16.98	$23.91
Highmark BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.38 / $15.38 / $15.38	Professional		$15.38	$15.38	$15.38
MVP Health Care Facility/Professional Facility Modifier Low / Median / High Price $22.22 / $22.22 / $555.00	Facility		$22.22	$22.22	$555.00
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.00 / $23.50	Professional		$16.22	$18.00	$23.50
United Facility/Professional Professional Modifier Low / Median / High Price $9.51 / $15.69 / $26.24	Professional		$9.51	$15.69	$26.24
Univera Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $16.98 / $19.64	Facility		$16.98	$16.98	$19.64
Univera Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $18.18	Professional		$16.98	$16.98	$18.18